PARKRIDGE DENTAL SPA
NPI 1275802894
Dentist - General Practice in Corona, CA

NPI Status: Active since December 28, 2011

Contact Information

520 E PARKRIDGE AVE
CORONA, CA
ZIP 92879
Phone: (951) 735-0200

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  • Organization
  • Dentist
  • General Practice

About PARKRIDGE DENTAL SPA

This page provides the complete NPI Profile along with additional information for Parkridge Dental Spa, a provider established in Corona, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1275802894 assigned on December 2011. The practitioner's primary taxonomy code is 1223G0001X with license number 45536 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Parkridge Dental Spa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Parkridge Dental Spa. The authorized official of this NPI record is Dr. Coracel T Johnson Dds (Principal Partner)

NPI
1275802894
Provider Legal Name
SMILE EXPRESS INC.
Other Organization Name
PARKRIDGE DENTAL SPA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
520 E PARKRIDGE AVE CORONA, CA 92879
Location Phone
(951) 735-0200
Mailing Address
520 E PARKRIDGE AVE CORONA, CA 92879
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2011
Last Update Date
12-28-2011
Code Navigator

A dentist like Parkridge Dental Spa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
45536
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CORACEL T JOHNSON DDS

Authorized Official Title
PRINCIPAL PARTNER
Authorized Official Phone
(951) 735-0200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45536OTHER (01)CADENTAL LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275802894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451604818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 0 + 4 + 8 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1275802894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639463169 ELIZABETH JAHANIAN DDS
Individual
Dentist520 E PARKRIDGE AVE
CORONA, CA 92879
(951) 735-0200
1063750974PARKRIDGE DENTAL SPA INC
Organization
Dentist (General Practice)520 E PARKRIDGE AVE
CORONA, CA 92879
(951) 735-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275802894, enumerated in the NPI registry as an "organization" on December 28, 2011

The provider is located at 520 E Parkridge Ave Corona, Ca 92879 and the phone number is (951) 735-0200

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 28, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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