PETERSON, KRISCHE, VAN HORN, DDS, LLC
NPI 1417945544
Dentist - General Practice in Lawrence, KS
NPI Status: Active since October 12, 2005
Contact Information
2210 YALE RD
LAWRENCE, KS
ZIP 66049
Phone: (785) 842-0705
Fax: (785) 865-2324
- Organization
- Dentist
- General Practice
- Accepts Insurance
- CLIA Number: 17D2193357
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 09-20-2026
About PETERSON, KRISCHE, VAN HORN, DDS, LLC
This page provides the complete NPI Profile along with additional information for Peterson, Krische, Van Horn, Dds, Llc, a provider established in Lawrence, Kansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1417945544 assigned on October 2005. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Dr. Kent T Peterson Dds (Managing Partner)
- NPI
- 1417945544
- Provider Name
- PETERSON, KRISCHE, VAN HORN, DDS, LLC
- Entity Type
- Organization
- Location Address
- 2210 YALE RD LAWRENCE, KS 66049
- Location Phone
- (785) 842-0705
- Location Fax
- (785) 865-2324
- Mailing Address
- 2210 YALE RD LAWRENCE, KS 66049
- Mailing Phone
- (785) 842-0705
- Mailing Fax
- (785) 865-2324
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2005
- Last Update Date
- 08-01-2011
- Code Navigator
A dentist like Peterson, Krische, Van Horn, Dds, Llc 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.
Location Map
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 420744 | OTHER (01) | KS | BLUE CROSS BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D2193357
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- September 21, 2024
- Certificate Expiration Date
- September 20, 2026
- Laboratory Director
- TRACI HAYDEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peterson, Krische, Van Horn, Dds, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 4 | 1 | 7 | 9 | 4 | 5 | 5 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 18 | 4 | 10 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 8 + 4 + 1 + 0 + 5 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1417945544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235108127 | MATTHEW F KRISCHE DDS Individual | Dentist (General Practice) | 2210 YALE RD LAWRENCE, KS 66049 (785) 842-0705 |
| 1679542831 | KENT T PETERSON DDS Individual | Dentist (General Practice) | 2210 YALE RD LAWRENCE, KS 66049 (785) 842-0705 |
| 1033178256 | KEITH D VAN HORN DDS Individual | Dentist (General Practice) | 2210 YALE RD LAWRENCE, KS 66049 (785) 842-0705 |
| 1134533466 | DR. CARESA DOAKES DDS Individual | Dentist | 2210 YALE RD LAWRENCE, KS 66049 (785) 312-7770 |
| 1396734737 | DOUGLAS COUNTY DENTAL CLINIC, INC Organization | Dentist (Dental Public Health) | 2210 YALE RD LAWRENCE, KS 66049 (785) 312-7770 |
| 1932639747 | JAMES JEREMIAH BELL DDS Individual | Dentist | 2210 YALE RD LAWRENCE, KS 66049 (785) 327-7770 |
| 1740774363 | BRIANNE KOESTER DDS Individual | Dentist | 2210 YALE RD LAWRENCE, KS 66049 (785) 312-7770 |
| 1528683992 | HEARTLAND MEDICAL CLINIC, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2210 YALE RD LAWRENCE, KS 66049 (785) 841-7297 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417945544, enumerated in the NPI registry as an "organization" on October 12, 2005
The provider is located at 2210 Yale Rd Lawrence, Ks 66049 and the phone number is (785) 842-0705
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 17D2193357 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 12, 2005. 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.