BROAD MOUNTAIN FAMILY DENTISTRY, P.C.
NPI 1366416828
Dentist - General Practice in Frackville, PA
Overall Rating: 1 out of 5 stars
NPI Status: Active since February 13, 2006
Contact Information
309 W PINE ST
FRACKVILLE, PA
ZIP 17931
Phone: (570) 874-3981
Fax: (570) 874-3981
- Organization
- Dentist
- General Practice
- CLIA Number: 39D0189626
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About BROAD MOUNTAIN FAMILY DENTISTRY, P.C.
This page provides the complete NPI Profile along with additional information for Broad Mountain Family Dentistry, P.c., a provider established in Frackville, Pennsylvania operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1366416828 assigned on February 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DS-029348-L (PA). 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 Dr. Frank Joseph Blozusky Sr. D.m.d. (Corporate President/dentist)
- NPI
- 1366416828
- Provider Name
- BROAD MOUNTAIN FAMILY DENTISTRY, P.C.
- Entity Type
- Organization
- Location Address
- 309 W PINE ST FRACKVILLE, PA 17931
- Location Phone
- (570) 874-3981
- Location Fax
- (570) 874-3981
- Mailing Address
- 309 W PINE ST FRACKVILLE, PA 17931
- Mailing Phone
- (570) 874-3981
- Mailing Fax
- (570) 874-3981
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Broad Mountain Family Dentistry, P.c. 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.
According to the Nursing Home Compare program data, Broad Mountain Family Dentistry, P.c. has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.
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
- License No.
- DS-029348-L
- License State
- PA
- 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.
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | - 1 out of 5 stars - Much Below Average |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The quality measures star rating is based on data from a select set of clinical measures. | |
| Long-Stay Quality Measures Rating | - 5 out of 5 stars - Much Above Average |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. | |
| Short-Stay Quality Measures Rating | - 1 out of 5 stars - Much Below Average |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. | |
| Staffing Rating | - 3 out of 5 stars - Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. | |
| Nurse Aide Staffing Hours | 1.84 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 0.59 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| RN Staff Turnover | 66.7% |
| Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year. | |
| Administrator Turnover | 2 |
| Number of administrators who left the nursing home within a given year. | |
| Ownership Type | For profit - Corporation |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 117 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 91 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 1 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 15 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | 0 citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 4 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 3 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $29084.25 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
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
- 39D0189626
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- GUBBI RANGANATH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Broad Mountain Family Dentistry, P.c. 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.
Reviews for BROAD MOUNTAIN FAMILY DENTISTRY, P.C.
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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. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 1 | 6 | 8 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 1 | 12 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 1 + 1 + 2 + 8 + 4 + 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 = 8 | 8 | ||||||||
The NPI number 1366416828 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518929660 | ROBERT D FORWOOD DDS Individual | Dentist | 309 W PINE ST FRACKVILLE, PA 17931 (570) 874-3981 |
| 1902981475 | DR. FRANK JOSEPH BLOZUSKY D.M.D. Individual | Dentist (General Practice) | 309 W PINE ST FRACKVILLE, PA 17931 (570) 874-3981 |
| 1700131901 | DR. DESIREE MARIE ELTRINGHAM DDS Individual | Dentist | 309 W PINE ST FRACKVILLE, PA 17931 (570) 874-3981 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366416828, enumerated in the NPI registry as an "organization" on February 13, 2006
The provider is located at 309 W Pine St Frackville, Pa 17931 and the phone number is (570) 874-3981
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider's CLIA number is 39D0189626 for a "skilled nursing facility/nursing facility" 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..
The Overall Quality Rating for this nursing home is 1 out of 5 stars which is much below average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
This NPI record was last updated on February 13, 2006. 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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