PLACERVILLE DENTISTRY GROUP
NPI 1366862302
Dentist - General Practice in Placerville, CA

NPI Status: Active since April 17, 2014

Contact Information

699 MAIN ST
SUIT B
PLACERVILLE, CA
ZIP 95667
Phone: (530) 295-8000
Fax: (530) 295-9072

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  • Organization
  • Dentist
  • General Practice

About PLACERVILLE DENTISTRY GROUP

This page provides the complete NPI Profile along with additional information for Placerville Dentistry Group, a provider established in Placerville, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1366862302 assigned on April 2014. The practitioner's primary taxonomy code is 1223G0001X with license number 54818 (CA). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Placerville Dentistry Group. The authorized official of this NPI record is Debra Kidder (Manager)

NPI
1366862302
Provider Legal Name
STEELE PLACERVILLE DENTAL GROUP, INC
Other Organization Name
PLACERVILLE DENTISTRY GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
699 MAIN ST SUIT B PLACERVILLE, CA 95667
Location Phone
(530) 295-8000
Location Fax
(530) 295-9072
Mailing Address
699 MAIN ST SUIT B PLACERVILLE, CA 95667
Mailing Phone
(530) 295-8000
Mailing Fax
(530) 295-9072
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2014
Last Update Date
04-17-2014
Code Navigator

A dentist like Placerville Dentistry Group 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
License No.
54818
License State
CA
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.

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)
11223G0001XDental Providers

Dentist
General Practice

62434 (CA)

Group Taxonomy 193400000X MULTIPLE 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

DEBRA KIDDER

Authorized Official Title
MANAGER
Authorized Official Phone
(530) 295-8000

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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.
1366862302
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126166430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 6 + 4 + 3 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1366862302 is valid because the calculated check digit 2 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
1326159682DR. THOMAS GABRIEL PESKO DC
Individual
Chiropractor699 MAIN ST SUITE C
PLACERVILLE, CA 95667
(530) 642-1032
1427153535MARSHALL MEDICAL CENTER
Organization
Obstetrics & Gynecology699 MAIN ST SUITE C
PLACERVILLE, CA 95667
(530) 626-2166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366862302, enumerated in the NPI registry as an "organization" on April 17, 2014

The provider is located at 699 Main St Suit B Placerville, Ca 95667 and the phone number is (530) 295-8000

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

This NPI record was last updated on April 17, 2014. 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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