LADYS ISLAND DENAL CLINIC
NPI 1386761955
Dentist in Beaufort, SC
NPI Status: Active since March 26, 2007
Contact Information
5 PROFESSIONAL VILLAGE CIR
BEAUFORT, SC
ZIP 29907
Phone: (843) 521-0808
Fax: (843) 521-0945
- Organization
- Dentist
- CLIA Number: 42D2251628
- CLIA Cert. Type: Other - FIRE DEPT COVID TESTING
- CLIA Exp. Date: 02-03-2026
About LADYS ISLAND DENAL CLINIC
This page provides the complete NPI Profile along with additional information for Ladys Island Denal Clinic, a provider established in Beaufort, South Carolina operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1386761955 assigned on March 2007. The practitioner's primary taxonomy code is 122300000X with license number 3760 (SC). 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. Tristan H Greenwalt Dmd (Dentist)
- NPI
- 1386761955
- Provider Name
- LADYS ISLAND DENAL CLINIC
- Entity Type
- Organization
- Location Address
- 5 PROFESSIONAL VILLAGE CIR BEAUFORT, SC 29907
- Location Phone
- (843) 521-0808
- Location Fax
- (843) 521-0945
- Mailing Address
- 5 PROFESSIONAL VILLAGE CIR BEAUFORT, SC 29907
- Mailing Phone
- (843) 521-0808
- Mailing Fax
- (843) 521-0945
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Ladys Island Denal Clinic 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
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 3760
- License State
- SC
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970484 | OTHER (01) | SC | UNITED CONCORDIA |
| ZX3760 | MEDICAID (05) | SC | |
| ZX3797 | MEDICAID (05) | SC | |
| 923437 | OTHER (01) | SC | UNITED CONCORDIA |
| ZA9682 | MEDICAID (05) | SC |
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
- 42D2251628
- Facility Type
- Other - FIRE DEPT COVID TESTING
- Certificate Effective Date
- February 04, 2024
- Certificate Expiration Date
- February 03, 2026
- Laboratory Director
- BRIAN M. SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ladys Island Denal Clinic 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 LADYS ISLAND DENAL CLINIC
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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 | 8 | 6 | 7 | 6 | 1 | 9 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 14 | 6 | 2 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 4 + 6 + 2 + 9 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1386761955 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1518940980 | DR. TRISTAN GREENWALT DMD Individual | Dentist (General Practice) | 5 PROFESSIONAL VILLAGE CIR BEAUFORT, SC 29907 (843) 521-0808 |
| 1386762342 | DR. ANGELA L LITCHFIELD DMD Individual | Dentist (General Practice) | 5 PROFESSIONAL VILLAGE CIR BEAUFORT, SC 29907 (843) 521-0808 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386761955, enumerated in the NPI registry as an "organization" on March 26, 2007
The provider is located at 5 Professional Village Cir Beaufort, Sc 29907 and the phone number is (843) 521-0808
This medical organization specializes in Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D2251628 for a "other - fire dept covid testing" 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 March 26, 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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