PEDIATRIC DENTAL CENTER
NPI 1386921526
Dentist - Pediatric Dentistry in Burlington, KY
NPI Status: Active since November 15, 2011
Contact Information
5495 N BEND RD
SUITE 102
BURLINGTON, KY
ZIP 41005
Phone: (859) 534-5640
Fax: (859) 534-5922
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 18D0993924
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-28-2025
About PEDIATRIC DENTAL CENTER
This page provides the complete NPI Profile along with additional information for Pediatric Dental Center, a provider established in Burlington, Kentucky operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1386921526 assigned on November 2011. The practitioner's primary taxonomy code is 1223P0221X with license number 736 (KY). The provider is registered as an organization and their NPI record was last updated 14 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. Eric M Soper Dmd (Owner)
- NPI
- 1386921526
- Provider Name
- PEDIATRIC DENTAL CENTER
- Entity Type
- Organization
- Location Address
- 5495 N BEND RD SUITE 102 BURLINGTON, KY 41005
- Location Phone
- (859) 534-5640
- Location Fax
- (859) 534-5922
- Mailing Address
- 5495 N BEND RD SUITE 102 BURLINGTON, KY 41005
- Mailing Phone
- (859) 534-5640
- Mailing Fax
- (859) 534-5922
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2011
- Last Update Date
- 11-15-2011
- Code Navigator
A dentist like Pediatric Dental Center 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 736
- License State
- KY
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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.
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 |
|---|---|---|---|
| 60002821 | MEDICAID (05) | KY |
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
- 18D0993924
- Facility Type
- Physician Office
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- KEITH A. STOWERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Dental Center 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 PEDIATRIC DENTAL CENTER
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. | |||||||||
| 1 | 3 | 8 | 6 | 9 | 2 | 1 | 5 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 18 | 2 | 2 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 8 + 2 + 2 + 5 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1386921526 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1891768180 | DR. KEITH ALLAN STOWERS MD Individual | Pediatrics | 5495 N BEND RD SUITE 101 BURLINGTON, KY 41005 (859) 586-9030 |
| 1629035787 | DR. DEENA A RASSENFOSS DMD Individual | Dentist (General Practice) | 5495 N BEND RD SUITE 103 BURLINGTON, KY 41005 (859) 689-9225 |
| 1629175096 | DR. ERIC M SOPER DMD Individual | Dentist (Pediatric Dentistry) | 5495 N BEND RD SUITE 102 BURLINGTON, KY 41005 (859) 534-5640 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386921526, enumerated in the NPI registry as an "organization" on November 15, 2011
The provider is located at 5495 N Bend Rd Suite 102 Burlington, Ky 41005 and the phone number is (859) 534-5640
This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
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 18D0993924 for a "physician office" 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 November 15, 2011. 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.