MOUNTAIN RIDGE DENTAL
NPI 1417240888
Clinic/Center - Dental in Orem, UT

NPI Status: Active since May 18, 2011

Contact Information

1256 S STATE ST
SUITE 103
OREM, UT
ZIP 84097
Phone: (801) 224-7182
Fax: (801) 235-0835

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  • Organization
  • Clinic/Center
  • Dental

About MOUNTAIN RIDGE DENTAL

This page provides the complete NPI Profile along with additional information for Mountain Ridge Dental, a provider established in Orem, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1417240888 assigned on May 2011. The practitioner's primary taxonomy code is 261QD0000X with license number 7692415-9922 (UT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Mountain Ridge Dental. The authorized official of this NPI record is Dr. John Green Dmd (Owner, Doctor)

NPI
1417240888
Provider Legal Name
JOHN GREEN DENTISTRY PC
Other Organization Name
MOUNTAIN RIDGE DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1256 S STATE ST SUITE 103 OREM, UT 84097
Location Phone
(801) 224-7182
Location Fax
(801) 235-0835
Mailing Address
1256 S STATE ST SUITE 103 OREM, UT 84097
Mailing Phone
(801) 224-7182
Mailing Fax
(801) 235-0835
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2011
Last Update Date
05-18-2011
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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 No.
7692415-9922
License State
UT

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. JOHN GREEN DMD

Authorized Official Title
OWNER, DOCTOR
Authorized Official Phone
(801) 224-7182

Reviews for MOUNTAIN RIDGE DENTAL

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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.
1417240888
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427440816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 4 + 4 + 0 + 8 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1417240888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295033843DR. JUAN C. CHAVEZ D.M.D.
Individual
Dentist (General Practice)1256 S STATE ST SUITE 103
OREM, UT 84097
(801) 224-7182
1851792683 DOUGLAS HANSEN DMD
Individual
Dentist1256 S STATE ST
OREM, UT 84097
(801) 607-5024
1457330458MOUNTAIN RIDGE DENTAL, LLC
Organization
Dentist (General Practice)1256 S STATE ST SUITE 103
OREM, UT 84097
(801) 224-7182
1891449849 JENILEE DAVIDSON
Individual
Social Worker (Clinical)1256 S STATE ST
OREM, UT 84097
(801) 602-4849

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417240888, enumerated in the NPI registry as an "organization" on May 18, 2011

The provider is located at 1256 S State St Suite 103 Orem, Ut 84097 and the phone number is (801) 224-7182

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

This NPI record was last updated on May 18, 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.