COLONIAL HEIGHTS DENTAL ASSOCAITES
NPI 1467567412
Dentist - General Practice in Kingsport, TN
NPI Status: Active since August 20, 2006
Contact Information
150 CLINIC DRIVE
SUITE A
KINGSPORT, TN
ZIP 37663
Phone: (423) 239-8021
Fax: (423) 239-6273
- Organization
- Dentist
- General Practice
- CLIA Number: 44D2144718
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 02-21-2026
About COLONIAL HEIGHTS DENTAL ASSOCAITES
This page provides the complete NPI Profile along with additional information for Colonial Heights Dental Assocaites, a provider established in Kingsport, Tennessee operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1467567412 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DS-00004556 (TN). The provider is registered as an organization and their NPI record was last updated 5 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. Bartley Lynn Ford Dds, Fagd (Dentist/president)
- NPI
- 1467567412
- Provider Name
- COLONIAL HEIGHTS DENTAL ASSOCAITES
- Entity Type
- Organization
- Location Address
- 150 CLINIC DRIVE SUITE A KINGSPORT, TN 37663
- Location Phone
- (423) 239-8021
- Location Fax
- (423) 239-6273
- Mailing Address
- 150 CLINIC DRIVE SUITE A KINGSPORT, TN 37663
- Mailing Phone
- (423) 239-8021
- Mailing Fax
- (423) 239-6273
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-20-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Colonial Heights Dental Assocaites 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
- License No.
- DS-00004556
- License State
- TN
- 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.
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
- 44D2144718
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- KIMBERLY V. ODLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Colonial Heights Dental Assocaites 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 | 6 | 7 | 5 | 6 | 7 | 4 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 10 | 6 | 14 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 0 + 6 + 1 + 4 + 4 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1467567412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467567412, enumerated in the NPI registry as an "organization" on August 20, 2006
The provider is located at 150 Clinic Drive Suite A Kingsport, Tn 37663 and the phone number is (423) 239-8021
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider's CLIA number is 44D2144718 for a "pharmacy" 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 August 20, 2006. 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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