VERMONT FAMILY DENTISTRY
NPI 1336451368
Clinic/Center - Dental in Los Angeles, CA

NPI Status: Active since July 07, 2010

Contact Information

1014 N VERMONT AVE
LOS ANGELES, CA
ZIP 90029
Phone: (732) 254-1994

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 05D2066445
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-25-2025

About VERMONT FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Vermont Family Dentistry, a provider established in Los Angeles, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1336451368 assigned on July 2010. The practitioner's primary taxonomy code is 261QD0000X with license number DDS55640 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Vermont Family Dentistry. The authorized official of this NPI record is Gagan Uppal Dmd (Owner)

NPI
1336451368
Provider Legal Name
UPPAL DENTAL CORP
Other Organization Name
VERMONT FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1014 N VERMONT AVE LOS ANGELES, CA 90029
Location Phone
(732) 254-1994
Mailing Address
1014 N VERMONT AVE LOS ANGELES, CA 90029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2010
Last Update Date
07-07-2010
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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.
DDS55640
License State
CA

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

GAGAN UPPAL DMD

Authorized Official Title
OWNER
Authorized Official Phone
(732) 254-1994

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
05D2066445
Facility Type
Physician Office
Certificate Effective Date
September 26, 2023
Certificate Expiration Date
September 25, 2025
Laboratory Director
RODRIGUEZ, CLEM, D. RODRIGUEZ, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vermont Family Dentistry 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.
1336451368
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366852312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 5 + 2 + 3 + 1 + 2 + 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 1336451368 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
1376813857YOUNG KIM, DDS, INC.
Organization
Dentist (General Practice)1014 N VERMONT AVE
LOS ANGELES, CA 90029
(323) 664-3400
1619322294JOHNNY K. KIM DDS INC
Organization
Dentist (General Practice)1014 N VERMONT AVE
LOS ANGELES, CA 90029
(323) 664-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336451368, enumerated in the NPI registry as an "organization" on July 07, 2010

The provider is located at 1014 N Vermont Ave Los Angeles, Ca 90029 and the phone number is (732) 254-1994

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

The provider's CLIA number is 05D2066445 for a "physician office" 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 July 07, 2010. 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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