BELLAIREFAMILY & COSMETIC DENTISTRY, PC
NPI 1356554596
Dentist - General Practice in Bellaire, MI

NPI Status: Active since May 07, 2007

Contact Information

4631 S M 88 HWY
BELLAIRE, MI
ZIP 49615
Phone: (231) 533-8712
Fax: (231) 533-4142

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 23D1058827
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-17-2026

About BELLAIREFAMILY & COSMETIC DENTISTRY, PC

This page provides the complete NPI Profile along with additional information for Bellairefamily & Cosmetic Dentistry, Pc, a provider established in Bellaire, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1356554596 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 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 Lisa Rathke (Office Manager)

NPI
1356554596
Provider Name
BELLAIREFAMILY & COSMETIC DENTISTRY, PC
Entity Type
Organization
Location Address
4631 S M 88 HWY BELLAIRE, MI 49615
Location Phone
(231) 533-8712
Location Fax
(231) 533-4142
Mailing Address
4631 S M 88 HWY BELLAIRE, MI 49615
Mailing Phone
(231) 533-8712
Mailing Fax
(231) 533-4142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Bellairefamily & Cosmetic Dentistry, Pc 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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

LISA RATHKE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(231) 533-8712

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
23D1058827
Facility Type
Ambulance
Certificate Effective Date
September 18, 2024
Certificate Expiration Date
September 17, 2026
Laboratory Director
WILLIAM R. DROLLINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellairefamily & Cosmetic Dentistry, Pc 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.
1356554596
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061058518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 8 + 5 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1356554596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548219900 BRIAN K RATHKE DDS
Individual
Dentist (General Practice)4631 S M 88 HWY
BELLAIRE, MI 49615
(231) 533-8712
1720828130 MARGARET RATHKE DDS
Individual
Dentist4631 S M 88 HWY
BELLAIRE, MI 49615
(231) 533-8712
1013800267DR. KATHERINE IRENE RATHKE DDS
Individual
Dentist4631 S M 88 HWY
BELLAIRE, MI 49615
(231) 533-8712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356554596, enumerated in the NPI registry as an "organization" on May 07, 2007

The provider is located at 4631 S M 88 Hwy Bellaire, Mi 49615 and the phone number is (231) 533-8712

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider's CLIA number is 23D1058827 for a "ambulance" 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 May 07, 2007. 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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