CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
NPI 1306321351
Dentist - Pediatric Dentistry in Rexburg, ID
NPI Status: Active since September 26, 2018
Contact Information
859 S YELLOWSTONE HWY
REXBURG, ID
ZIP 83440
Phone: (208) 552-5439
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
About CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
This page provides the complete NPI Profile along with additional information for Clubhouse Pediatric Dentistry Of Madison, a provider established in Rexburg, Idaho operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1306321351 assigned on September 2018. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 7 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 Mrs. Jennifer Louise Robison (Financial Coordinator)
- NPI
- 1306321351
- Provider Name
- CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
- Entity Type
- Organization
- Location Address
- 859 S YELLOWSTONE HWY REXBURG, ID 83440
- Location Phone
- (208) 552-5439
- Mailing Address
- 859 S YELLOWSTONE HWY REXBURG, ID 83440
- Mailing Phone
- (208) 552-5439
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-26-2018
- Last Update Date
- 09-26-2018
- Code Navigator
A dentist like Clubhouse Pediatric Dentistry Of Madison 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
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.
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 |
|---|---|---|---|
| 28954 | MEDICAID (05) | ID |
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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 | 3 | 0 | 6 | 3 | 2 | 1 | 3 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 6 | 2 | 2 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 6 + 2 + 2 + 3 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1306321351 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1669573416 | HGNS INVESTMENTS Organization | Prosthetic/Orthotic Supplier | 859 S YELLOWSTONE HWY SUITE 101 REXBURG, ID 83440 (208) 522-6433 |
| 1831220896 | FAMILY FIRST HEALTH CENTER OF REXBURG INC Organization | Nurse Practitioner (Family) | 859 S YELLOWSTONE HWY SUITE 1101 REXBURG, ID 83440 (208) 317-3288 |
| 1750798526 | LAURA DOLEZAL CCC/SLP Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY SUITE 1702 REXBURG, ID 83440 (208) 351-5791 |
| 1801243506 | MS. SARAH PANTING M.S., CCC-SLP Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY SUITE 1701 REXBURG, ID 83440 (208) 351-3695 |
| 1063948610 | RACHEL BATEMON Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY SUITE 1701 REXBURG, ID 83440 (208) 356-7643 |
| 1619187390 | DR. SPENCER E. MAUSETH D.D.S. Individual | Dentist (Pediatric Dentistry) | 859 S YELLOWSTONE HWY SUITE #1202 REXBURG, ID 83440 (208) 552-5439 |
| 1659997138 | BRIANNE R BANKS SLP Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY REXBURG, ID 83440 (208) 356-7643 |
| 1750019675 | JEFFREY KENNETH DESPOT MS CF-SLP Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY REXBURG, ID 83440 (208) 356-7643 |
| 1811725377 | KEVIN KELLER Individual | Speech-Language Pathologist | 859 S YELLOWSTONE HWY REXBURG, ID 83440 (208) 313-0091 |
| 1538995626 | AMANDA WHITE Individual | Behavior Technician | 859 S YELLOWSTONE HWY REXBURG, ID 83440 (307) 257-5487 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306321351, enumerated in the NPI registry as an "organization" on September 26, 2018
The provider is located at 859 S Yellowstone Hwy Rexburg, Id 83440 and the phone number is (208) 552-5439
This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
The provider might be accepting Accepts: UnitedHealthcare, 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 September 26, 2018. 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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