EVERGREEN FAMILY DENTISTRY, INC.
NPI 1316213374
Durable Medical Equipment & Medical Supplies in Monroe, WA

NPI Status: Active since March 23, 2012

Contact Information

17798 147TH ST SE
MONROE, WA
ZIP 98272
Phone: (360) 805-0211
Fax: (360) 863-9222

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About EVERGREEN FAMILY DENTISTRY, INC.

This page provides the complete NPI Profile along with additional information for Evergreen Family Dentistry, Inc., a provider established in Monroe, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1316213374 assigned on March 2012. The practitioner's primary taxonomy code is 332B00000X with license number 7077 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Glen Monson D.d.s (Owner)

NPI
1316213374
Provider Name
EVERGREEN FAMILY DENTISTRY, INC.
Entity Type
Organization
Location Address
17798 147TH ST SE MONROE, WA 98272
Location Phone
(360) 805-0211
Location Fax
(360) 863-9222
Mailing Address
17798 147TH ST SE MONROE, WA 98272
Mailing Phone
(360) 805-0211
Mailing Fax
(360) 863-9222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2012
Last Update Date
03-23-2012
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
7077
License State
WA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

GLEN MONSON D.D.S

Authorized Official Title
OWNER
Authorized Official Phone
(360) 805-0211

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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.
1316213374
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326416314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 4 + 1 + 6 + 3 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1316213374 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
1497879001EVERGREEN FAMILY DENTISTRY
Organization
Dentist17798 147TH ST SE
MONROE, WA 98272
(360) 805-0211
1477639375DR. ROBERT K PARK D.D.S.
Individual
Dentist (General Practice)17798 147TH ST SE
MONROE, WA 98272
(360) 605-0211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316213374, enumerated in the NPI registry as an "organization" on March 23, 2012

The provider is located at 17798 147th St Se Monroe, Wa 98272 and the phone number is (360) 805-0211

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on March 23, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.