CLD - COON RAPIDS MN, LLC
NPI 1366136269
Clinic/Center - Dental in Coon Rapids, MN

NPI Status: Active since June 05, 2023

Contact Information

3790 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 200-5280

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Dental

About CLD - COON RAPIDS MN, LLC

This page provides the complete NPI Profile along with additional information for Cld - Coon Rapids Mn, Llc, a provider established in Coon Rapids, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1366136269 assigned on June 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. David Park Dmd (Ceo/owner)

NPI
1366136269
Provider Name
CLD - COON RAPIDS MN, LLC
Entity Type
Organization
Location Address
3790 COON RAPIDS BLVD NW COON RAPIDS, MN 55433
Location Phone
(763) 200-5280
Mailing Address
3790 COON RAPIDS BLVD NW COON RAPIDS, MN 55433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2023
Last Update Date
06-05-2023
Code Navigator

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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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. DAVID PARK DMD

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(651) 444-9644

Reviews for CLD - COON RAPIDS MN, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1366136269
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231262312212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 2 + 3 + 1 + 2 + 2 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1366136269 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669475414DR. ALFRED OSCAR STELDT M.D.
Individual
Ophthalmology3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 421-7420
1710190939DR. PATRICK KELLY JOHNSON M.D.
Individual
Ophthalmology3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 421-7420
1689870156NORTH SUBURBAN EYE SPECIALISTS, LLP
Organization
Ophthalmology3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 421-7420
1174179758 KATELYN SOPHIA LOWERY DDS
Individual
Dentist (General Practice)3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 200-5280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366136269, enumerated in the NPI registry as an "organization" on June 05, 2023

The provider is located at 3790 Coon Rapids Blvd Nw Coon Rapids, Mn 55433 and the phone number is (763) 200-5280

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

This NPI record was last updated on June 05, 2023. 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.