FAMILIA DENTAL
NPI 1386964526
Dentist - General Practice in Peoria, IL

NPI Status: Active since June 10, 2010

Contact Information

1403 W. GLEN
PEORIA, IL
ZIP 61614
Phone: (888) 988-4066

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  • Organization
  • Dentist
  • General Practice

About FAMILIA DENTAL

This page provides the complete NPI Profile along with additional information for Familia Dental, a provider established in Peoria, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1386964526 assigned on June 2010. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 15 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 Familia Dental. The authorized official of this NPI record is Dr. Koushan H. Azad Dmd (President/owner)

NPI
1386964526
Provider Legal Name
FAMILIA DENTAL PEORIA 3 LLC
Other Organization Name
FAMILIA DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1403 W. GLEN PEORIA, IL 61614
Location Phone
(888) 988-4066
Mailing Address
2000 E ALGONQUIN RD SUITE 109 SCHAUMBURG, IL 60173
Mailing Phone
(888) 988-4066
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2010
Last Update Date
06-10-2010
Code Navigator

A dentist like Familia Dental 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.

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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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
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.

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. KOUSHAN H. AZAD DMD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(888) 988-4066

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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.
1386964526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166186854
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 + 6 + 8 + 5 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1386964526 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
1740500974FAMILIA DENTAL PEORIA 2 LLC
Organization
Dentist (General Practice)1403 W. GLEN
PEORIA, IL 61614
(888) 988-4066
1548580780FAMILIA DENTAL PEORIA 4 LLC
Organization
Dentist (General Practice)1403 W. GLEN
PEORIA, IL 61614
(888) 988-4066
1932429164FAMILIA DENTAL PEORIA LLC
Organization
Clinic/Center (Dental)1403 W. GLEN
PEORIA, IL 61614
(888) 988-4066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386964526, enumerated in the NPI registry as an "organization" on June 10, 2010

The provider is located at 1403 W. Glen Peoria, Il 61614 and the phone number is (888) 988-4066

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

This NPI record was last updated on June 10, 2010. 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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