CORVALLIS CHILDREN'S DENTISTRY PC
NPI 1275924227
Dentist - Pediatric Dentistry in Corvallis, OR
NPI Status: Active since February 12, 2015
Contact Information
2350 NW CENTURY DR
STE 210
CORVALLIS, OR
ZIP 97330
Phone: (541) 243-8988
Fax: (541) 243-8990
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 38D2209436
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-12-2027
About CORVALLIS CHILDREN'S DENTISTRY PC
This page provides the complete NPI Profile along with additional information for Corvallis Children's Dentistry Pc, a provider established in Corvallis, Oregon operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1275924227 assigned on February 2015. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kale Gray Dmd (Dentist)
- NPI
- 1275924227
- Provider Name
- CORVALLIS CHILDREN'S DENTISTRY PC
- Entity Type
- Organization
- Location Address
- 2350 NW CENTURY DR STE 210 CORVALLIS, OR 97330
- Location Phone
- (541) 243-8988
- Location Fax
- (541) 243-8990
- Mailing Address
- 2350 NW CENTURY DR STE 210 CORVALLIS, OR 97330
- Mailing Phone
- (541) 243-8988
- Mailing Fax
- (541) 243-8990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2015
- Last Update Date
- 02-12-2015
- Code Navigator
A dentist like Corvallis Children's Dentistry Pc 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 38D2209436
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 13, 2025
- Certificate Expiration Date
- January 12, 2027
- Laboratory Director
- JACQUELINE R. DILLON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corvallis Children's Dentistry Pc 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. | |||||||||
| 1 | 2 | 7 | 5 | 9 | 2 | 4 | 2 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 18 | 2 | 8 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 8 + 2 + 8 + 2 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1275924227 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306092143 | ROBYN M CRINER P.T. Individual | Physical Therapist | 2350 NW CENTURY DR SUITE 100 CORVALLIS, OR 97330 (541) 754-1265 |
| 1013968098 | MR. GARY MICHAEL GRAY DPT Individual | Physical Therapist | 2350 NW CENTURY DR SUITE 100 CORVALLIS, OR 97330 (541) 754-1150 |
| 1740288034 | BRIAN L WILSON D.M.D. Individual | Dentist (Endodontics) | 2350 NW CENTURY DR STE #200 CORVALLIS, OR 97330 (541) 768-0419 |
| 1003262635 | MR. PAUL EMERSON JAQUES DPT Individual | Physical Therapist | 2350 NW CENTURY DR CORVALLIS, OR 97330 (541) 754-1265 |
| 1952968166 | TYLER ODENS DPT Individual | Physical Therapist | 2350 NW CENTURY DR CORVALLIS, OR 97330 (541) 754-1265 |
| 1659455855 | MR. ROBERT FRANK CSINTALAN DPT Individual | Physical Therapist | 2350 NW CENTURY DR CORVALLIS, OR 97330 (541) 754-1265 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275924227, enumerated in the NPI registry as an "organization" on February 12, 2015
The provider is located at 2350 Nw Century Dr Ste 210 Corvallis, Or 97330 and the phone number is (541) 243-8988
This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
The provider's CLIA number is 38D2209436 for a "assisted living facility" 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 12, 2015. 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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