MADISON DENTAL LLC
NPI 1417476458
Clinic/Center - Dental in Madison, WI

NPI Status: Active since September 11, 2017

Contact Information

2110 FORDEM AVE
MADISON, WI
ZIP 53704
Phone: (608) 244-9124

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  • Organization
  • Clinic/Center
  • Dental

About MADISON DENTAL LLC

This page provides the complete NPI Profile along with additional information for Madison Dental Llc, a provider established in Madison, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1417476458 assigned on September 2017. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Kelly Bares (Owner)

NPI
1417476458
Provider Name
MADISON DENTAL LLC
Entity Type
Organization
Location Address
2110 FORDEM AVE MADISON, WI 53704
Location Phone
(608) 244-9124
Mailing Address
2110 FORDEM AVE MADISON, WI 53704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2017
Last Update Date
09-11-2017
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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

KELLY BARES

Authorized Official Title
OWNER
Authorized Official Phone
(309) 369-3284

Reviews for MADISON DENTAL LLC

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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.
1417476458
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24278712410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 8 + 7 + 1 + 2 + 4 + 1 + 0 + 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 1417476458 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780799239DR. TIMOTHY C TURINO DC
Individual
Chiropractor2110 FORDEM AVE
MADISON, WI 53704
(608) 244-7447
1639415698 ANDREW CHARLES SCHUPP D.C
Individual
Chiropractor (Orthopedic)2110 FORDEM AVE
MADISON, WI 53704
(608) 244-7447
1982941399SCHUPP CHIROPRACTIC AND SPORTS INJURIES LLC
Organization
Chiropractor (Orthopedic)2110 FORDEM AVE
MADISON, WI 53704
(608) 244-7447
1225154198DR. STEVEN BARRY EATON D.D.S., F.A.G.D.
Individual
Dentist2110 FORDEM AVE
MADISON, WI 53704
(608) 244-9124
1275075558 JESSE EASLEY
Individual
Chiropractor2110 FORDEM AVE
MADISON, WI 53704
(608) 244-7447
1952956062DR. PHILLIP MAXWELL HSU DC
Individual
Chiropractor2110 FORDEM AVE
MADISON, WI 53704
(608) 244-7447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417476458, enumerated in the NPI registry as an "organization" on September 11, 2017

The provider is located at 2110 Fordem Ave Madison, Wi 53704 and the phone number is (608) 244-9124

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

This NPI record was last updated on September 11, 2017. 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.