PERIODONTAL HEALTH ASSOCIATES
NPI 1326371048
Dentist - Periodontics in Lynchburg, VA

NPI Status: Active since September 14, 2009

Contact Information

525 LEESVILLE RD
LYNCHBURG, VA
ZIP 24502
Phone: (434) 455-2444
Fax: (434) 237-2050

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  • Organization
  • Dentist
  • Periodontics
  • CLIA Number: 49D2221080
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-18-2027

About PERIODONTAL HEALTH ASSOCIATES

This page provides the complete NPI Profile along with additional information for Periodontal Health Associates, a provider established in Lynchburg, Virginia operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1326371048 assigned on September 2009. The practitioner's primary taxonomy code is 1223P0300X with license number 005531 (VA). The provider is registered as an organization and their NPI record was last updated 16 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. Sherman Owen Smock D.d.s. (President)

NPI
1326371048
Provider Name
PERIODONTAL HEALTH ASSOCIATES
Entity Type
Organization
Location Address
525 LEESVILLE RD LYNCHBURG, VA 24502
Location Phone
(434) 455-2444
Location Fax
(434) 237-2050
Mailing Address
525 LEESVILLE RD LYNCHBURG, VA 24502
Mailing Phone
(434) 455-2444
Mailing Fax
(434) 237-2050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2009
Last Update Date
09-14-2009
Code Navigator

A dentist like Periodontal Health Associates 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
005531
License State
VA
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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.

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. SHERMAN OWEN SMOCK D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(434) 455-2444

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
49D2221080
Facility Type
Practitioner Other
Certificate Effective Date
April 19, 2025
Certificate Expiration Date
April 18, 2027
Laboratory Director
RYAN ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Periodontal Health Associates 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.

Reviews for PERIODONTAL HEALTH ASSOCIATES

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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.
1326371048
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
234667208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 7 + 2 + 0 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1326371048 is valid because the calculated check digit 8 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
1912578626DR. YAILIN DIAZ PICHARDO DMD, MS
Individual
Dentist (Periodontics)525 LEESVILLE RD
LYNCHBURG, VA 24502
(434) 455-2444
1164238259LYNCHBURG PERIODONTICS PLLC
Organization
Dentist (Periodontics)525 LEESVILLE RD
LYNCHBURG, VA 24502
(434) 455-2444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326371048, enumerated in the NPI registry as an "organization" on September 14, 2009

The provider is located at 525 Leesville Rd Lynchburg, Va 24502 and the phone number is (434) 455-2444

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

The provider's CLIA number is 49D2221080 for a "practitioner other" 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 September 14, 2009. 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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