GOLDEN SMILES DENTAL
NPI 1376942672
Exclusive Provider Organization in Rancho Cucamonga, CA

NPI Status: Active since August 22, 2014

Contact Information

9635 MILLIKEN AVE STE 103
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 481-8990
Fax: (909) 481-8875

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  • Organization
  • Exclusive Provider Organization
  • Accepts Insurance

About GOLDEN SMILES DENTAL

This page provides the complete NPI Profile along with additional information for Golden Smiles Dental, a provider established in Rancho Cucamonga, California operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1376942672 assigned on August 2014. The practitioner's primary taxonomy code is 302F00000X with license number 59757 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Golden Smiles Dental. The authorized official of this NPI record is Dr. Ankin Deragobian Dds (Owner/president)

NPI
1376942672
Provider Legal Name
ANKIN DERAGOBIAN D.D.S. INC.
Other Organization Name
GOLDEN SMILES DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9635 MILLIKEN AVE STE 103 RANCHO CUCAMONGA, CA 91730
Location Phone
(909) 481-8990
Location Fax
(909) 481-8875
Mailing Address
9635 MILLIKEN AVE STE 103 RANCHO CUCAMONGA, CA 91730
Mailing Phone
(909) 481-8990
Mailing Fax
(909) 481-8875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2014
Last Update Date
01-28-2015
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
59757
License State
CA
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. ANKIN DERAGOBIAN DDS

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(909) 481-8990

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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.
1376942672
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461844614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 4 + 4 + 6 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1376942672 is valid because the calculated check digit 2 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 1376942672, enumerated in the NPI registry as an "organization" on August 22, 2014

The provider is located at 9635 Milliken Ave Ste 103 Rancho Cucamonga, Ca 91730 and the phone number is (909) 481-8990

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 22, 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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