LEGACY DENTAL IMPLANT
NPI 1356186654
Dentist - Periodontics in Arlington, VA

NPI Status: Active since June 27, 2024

Contact Information

3000 10TH ST N
ARLINGTON, VA
ZIP 22201
Phone: (646) 824-3829

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  • Organization
  • Dentist
  • Periodontics

About LEGACY DENTAL IMPLANT

This page provides the complete NPI Profile along with additional information for Legacy Dental Implant, a provider established in Arlington, Virginia operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1356186654 assigned on June 2024. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated one year ago. Legacy Dental Implant operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Ahmed Matri (Owner)

NPI
1356186654
Provider Name
LEGACY DENTAL IMPLANT
Entity Type
Organization
Location Address
3000 10TH ST N ARLINGTON, VA 22201
Location Phone
(646) 824-3829
Mailing Address
3000 10TH ST N ARLINGTON, VA 22201
Mailing Phone
(646) 824-3829
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2024
Last Update Date
06-27-2024
Code Navigator

A dentist like Legacy Dental Implant 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.

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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

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 
21223E0200XDental Providers

Dentist
Endodontics

 
31223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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. AHMED MATRI

Authorized Official Title
OWNER
Authorized Official Phone
(646) 824-3829

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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.
1356186654
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231062812610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 2 + 8 + 1 + 2 + 6 + 1 + 0 + 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 1356186654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356186654, enumerated in the NPI registry as an "organization" on June 27, 2024

The provider is located at 3000 10th St N Arlington, Va 22201 and the phone number is (646) 824-3829

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

This NPI record was last updated on June 27, 2024. 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.