CALDERA DENTAL GROUP
NPI 1396403820
Clinic/Center - Dental in Redmond, OR

NPI Status: Active since December 01, 2021

Contact Information

2727 SW 17TH PL
REDMOND, OR
ZIP 97756
Phone: (360) 921-4735

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  • Organization
  • Clinic/Center
  • Dental

About CALDERA DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Caldera Dental Group, a provider established in Redmond, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1396403820 assigned on December 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Christopher Allen Primley Dmd (Owner/dentist)

NPI
1396403820
Provider Name
CALDERA DENTAL GROUP
Entity Type
Organization
Location Address
2727 SW 17TH PL REDMOND, OR 97756
Location Phone
(360) 921-4735
Mailing Address
2727 SW 17TH PL REDMOND, OR 97756
Mailing Phone
(541) 604-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2021
Last Update Date
01-14-2022
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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

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. CHRISTOPHER ALLEN PRIMLEY DMD

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(541) 604-2900

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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.
1396403820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318680684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 8 + 0 + 6 + 8 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396403820 is valid because the calculated check digit 0 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
1528074523DR. EDWARD LEE CLARK DMD
Individual
Dentist (General Practice)2727 SW 17TH PL
REDMOND, OR 97756
(541) 548-3896
1649545138CLARK FAMILY DENTISTRY PC
Organization
Dentist2727 SW 17TH PL
REDMOND, OR 97756
(541) 548-3896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396403820, enumerated in the NPI registry as an "organization" on December 01, 2021

The provider is located at 2727 Sw 17th Pl Redmond, Or 97756 and the phone number is (360) 921-4735

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

This NPI record was last updated on December 01, 2021. 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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