NEWTON WELLESLEY DENTAL GROUP
NPI 1275806655
Dentist - General Practice in Wellesley, MA

NPI Status: Active since February 16, 2012

Contact Information

486 WASHINGTON ST
WELLESLEY, MA
ZIP 02482
Phone: (781) 235-6300
Fax: (781) 237-6522

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 22D2136849
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-17-2025

About NEWTON WELLESLEY DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Newton Wellesley Dental Group, a provider established in Wellesley, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1275806655 assigned on February 2012. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Newton Wellesley Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Ryne Johnson Dmd (Owner/ceo)

NPI
1275806655
Provider Name
NEWTON WELLESLEY DENTAL GROUP
Entity Type
Organization
Location Address
486 WASHINGTON ST WELLESLEY, MA 02482
Location Phone
(781) 235-6300
Location Fax
(781) 237-6522
Mailing Address
486 WASHINGTON ST WELLESLEY, MA 02482
Mailing Phone
(781) 235-6300
Mailing Fax
(781) 237-6522
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2012
Last Update Date
02-16-2012
Code Navigator

A dentist like Newton Wellesley Dental Group 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.

Location Map

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 State
MA
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.

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. RYNE JOHNSON DMD

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(781) 235-6300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2136849
Facility Type
Physician Office
Certificate Effective Date
September 18, 2023
Certificate Expiration Date
September 17, 2025
Laboratory Director
ALI TIRMIZI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Newton Wellesley Dental Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1275806655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214516012610
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 + 1 + 2 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1275806655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063402162RICHARD H STELLAR EDD PC
Organization
Psychologist (Clinical)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-6969
1184656845DR. PAUL OLIVER JOHNSON DMD
Individual
Dentist (Pediatric Dentistry)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 237-2151
1689688186 PAMELA PAPPAS DMD
Individual
Dentist (Endodontics)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-8447
1730256280DR. RICHARD L PICKETT DMD
Individual
Dentist (General Practice)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-6300
1326193251VILLAGE DENTAL OF NEW ENGLAND PLLC
Organization
Dentist486 WASHINGTON ST
WELLESLEY, MA 02482
(617) 969-8725
1598811242DR. STEPHEN JAMES NOXON DMD, MSD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-7181
1841541851PAUL O. JOHNSON, DMD PC
Organization
Dentist (Pediatric Dentistry)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 237-2151
1740449065DR. ALLISON SCOTT BAKER M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)486 WASHINGTON ST
WELLESLEY, MA 02482
(646) 580-8673
1508407214WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC
Organization
Clinic/Center (Oral and Maxillofacial Surgery)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-5225
1437205192STEPHEN J. NOXON, DMD, MSD, PC
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)486 WASHINGTON ST
WELLESLEY, MA 02482
(781) 235-7181

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275806655, enumerated in the NPI registry as an "organization" on February 16, 2012

The provider is located at 486 Washington St Wellesley, Ma 02482 and the phone number is (781) 235-6300

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

The provider's CLIA number is 22D2136849 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 16, 2012. 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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