INNOVATIVE PEDIATRIC DENTISTRY
NPI 1447644802
Dentist - Pediatric Dentistry in Naperville, IL

NPI Status: Active since March 24, 2015

Contact Information

55 S MAIN ST STE 241
NAPERVILLE, IL
ZIP 60540
Phone: (630) 848-2010
Fax: (630) 848-2011

Get Directions Reviews

  • Organization
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance

About INNOVATIVE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Innovative Pediatric Dentistry, a provider established in Naperville, Illinois operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1447644802 assigned on March 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 4744296 (IL). The provider is registered as an organization and their NPI record was last updated 10 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. Anthony Lavacca Dmd (President)

NPI
1447644802
Provider Name
INNOVATIVE PEDIATRIC DENTISTRY
Entity Type
Organization
Location Address
55 S MAIN ST STE 241 NAPERVILLE, IL 60540
Location Phone
(630) 848-2010
Location Fax
(630) 848-2011
Mailing Address
55 S MAIN ST STE 241 NAPERVILLE, IL 60540
Mailing Phone
(630) 848-2010
Mailing Fax
(630) 848-2011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2015
Last Update Date
03-24-2015
Code Navigator

A dentist like Innovative Pediatric Dentistry 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
4744296
License State
IL
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. ANTHONY LAVACCA DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(630) 848-2010

Reviews for INNOVATIVE PEDIATRIC DENTISTRY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1447644802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487124880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 4 + 8 + 8 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1447644802 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053322867DR. STEVEN YUAN D.D.S.
Individual
Dentist (General Practice)55 S MAIN ST STE 241
NAPERVILLE, IL 60540
(630) 848-2010
1659955052DENTAL PROFESSIONALS OF ILLINOIS, P.C
Organization
Dentist (General Practice)55 S MAIN ST STE 241
NAPERVILLE, IL 60540
(630) 848-2010
1144003104 JENNIE KIM DMD
Individual
Dentist55 S MAIN ST STE 241
NAPERVILLE, IL 60540
(630) 848-2010
1720711864 SAMHITHA PASUPULETI DMD
Individual
Dentist55 S MAIN ST STE 241
NAPERVILLE, IL 60540
(630) 848-2010
1003536269DR. TAWFIK ABDUL DAYEM
Individual
Dentist (General Practice)55 S MAIN ST STE 241
NAPERVILLE, IL 60540
(630) 848-2010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447644802, enumerated in the NPI registry as an "organization" on March 24, 2015

The provider is located at 55 S Main St Ste 241 Naperville, Il 60540 and the phone number is (630) 848-2010

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 24, 2015. 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.