DISTINCTIVE DENTISTRY
NPI 1396026209
Clinic/Center - Dental in Tacoma, WA

NPI Status: Active since September 06, 2011

Contact Information

5615 VALLEY AVE E
TACOMA, WA
ZIP 98424
Phone: (253) 922-6822
Fax: (253) 922-3513

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  • Organization
  • Clinic/Center
  • Dental

About DISTINCTIVE DENTISTRY

This page provides the complete NPI Profile along with additional information for Distinctive Dentistry, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1396026209 assigned on September 2011. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Distinctive Dentistry. The authorized official of this NPI record is Keith Martin Phillips D.m.d., M.s.d. (Owner)

NPI
1396026209
Provider Legal Name
PHILLIPS DENTISTRY, PS.
Other Organization Name
DISTINCTIVE DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5615 VALLEY AVE E TACOMA, WA 98424
Location Phone
(253) 922-6822
Location Fax
(253) 922-3513
Mailing Address
5615 VALLEY AVE E FIFE, WA 98424
Mailing Phone
(253) 922-6822
Mailing Fax
(253) 922-3513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2011
Last Update Date
01-08-2016
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License State
WA

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)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

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

KEITH MARTIN PHILLIPS D.M.D., M.S.D.

Authorized Official Title
OWNER
Authorized Official Phone
(253) 922-6822

Reviews for DISTINCTIVE DENTISTRY

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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.
1396026209
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186021220
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 2 + 1 + 2 + 2 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1396026209 is valid because the calculated check digit 9 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
1710083324DR. JOHN CONSTANTINE KOIS DMD, MSD
Individual
Dentist (Prosthodontics)5615 VALLEY AVE E
TACOMA, WA 98424
(253) 922-6056
1699071910GLORIANNE D. WALKER, DMD, PLLC
Organization
Clinic/Center (Dental)5615 VALLEY AVE E
FIFE, WA 98424
(253) 922-6822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396026209, enumerated in the NPI registry as an "organization" on September 06, 2011

The provider is located at 5615 Valley Ave E Tacoma, Wa 98424 and the phone number is (253) 922-6822

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on September 06, 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.