AQUA DENTAL LLC
NPI 1336392505
Clinic/Center - Dental in Randolph, MA

NPI Status: Active since October 31, 2008

Contact Information

1395 N MAIN ST
RANDOLPH, MA
ZIP 02368
Phone: (781) 963-6077

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  • Organization
  • Clinic/Center
  • Dental

About AQUA DENTAL LLC

This page provides the complete NPI Profile along with additional information for Aqua Dental Llc, a provider established in Randolph, Massachusetts operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1336392505 assigned on October 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 18450 (MA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Jeffrey Fayerman (Owner)

NPI
1336392505
Provider Name
AQUA DENTAL LLC
Entity Type
Organization
Location Address
1395 N MAIN ST RANDOLPH, MA 02368
Location Phone
(781) 963-6077
Mailing Address
1395 N MAIN ST RANDOLPH, MA 02368
Mailing Phone
(781) 963-6077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2008
Last Update Date
10-31-2008
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
18450
License State
MA

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

JEFFREY FAYERMAN

Authorized Official Title
OWNER
Authorized Official Phone
(781) 963-6077

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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.
1336392505
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236669450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 9 + 4 + 5 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1336392505 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487860102MISS ANNMARIE HAYES RN-C, NP
Individual
Nurse Practitioner1395 N MAIN ST
RANDOLPH, MA 02368
(800) 973-3009
1528428976 MICHAEL WAYNE BROWN
Individual
Dentist1395 N MAIN ST
RANDOLPH, MA 02368
(781) 963-6077
1972812469NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
Organization
Clinic/Center (Multi-Specialty)1395 N MAIN ST SUITE G
RANDOLPH, MA 02368
(781) 961-7887
1225769177STELIOS TSARTSIDIS DMD PC
Organization
Dentist1395 N MAIN ST
RANDOLPH, MA 02368
(781) 963-6077
1366898413DR. MATTHEW DEVINE D.M.D.
Individual
Dentist1395 N MAIN ST
RANDOLPH, MA 02368
(781) 963-6077
1356405435MRS. ROSEMARY DOHERTY BYRNE NP
Individual
Nurse Practitioner (Adult Health)1395 N MAIN ST
RANDOLPH, MA 02368
(781) 961-7887
1699197913REGIONAL HOME CARE INC
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1395 N MAIN ST SUITE F
RANDOLPH, MA 02368
(781) 963-1426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336392505, enumerated in the NPI registry as an "organization" on October 31, 2008

The provider is located at 1395 N Main St Randolph, Ma 02368 and the phone number is (781) 963-6077

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on October 31, 2008. 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.