BONNEY LAKE DENTAL CENTER
NPI 1477783199
Dentist - General Practice in Bonney Lake, WA
NPI Status: Active since July 15, 2009
Contact Information
9925 214TH AVE E STE A
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 863-4594
Fax: (253) 863-5061
- Organization
- Dentist
- General Practice
- CLIA Number: 50D2282128
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About BONNEY LAKE DENTAL CENTER
This page provides the complete NPI Profile along with additional information for Bonney Lake Dental Center, a provider established in Bonney Lake, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1477783199 assigned on July 2009. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 16 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 Mrs. Delia Constantin Dds (Dentist)
- NPI
- 1477783199
- Provider Name
- BONNEY LAKE DENTAL CENTER
- Entity Type
- Organization
- Location Address
- 9925 214TH AVE E STE A BONNEY LAKE, WA 98391
- Location Phone
- (253) 863-4594
- Location Fax
- (253) 863-5061
- Mailing Address
- 9925 214TH AVE E STE A BONNEY LAKE, WA 98391
- Mailing Phone
- (253) 863-4594
- Mailing Fax
- (253) 863-5061
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2009
- Last Update Date
- 07-15-2009
- Code Navigator
A dentist like Bonney Lake Dental Center 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.
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
- 50D2282128
- Facility Type
- Other - AFH
- Certificate Effective Date
- May 17, 2023
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- SAMUEL MBUA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bonney Lake Dental Center 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 | 7 | 7 | 7 | 8 | 3 | 1 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 14 | 8 | 6 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 4 + 8 + 6 + 1 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1477783199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457580920 | DR. DELIA CONSTANTIN DDS Individual | Dentist (General Practice) | 9925 214TH AVE E STE A BONNEY LAKE, WA 98391 (253) 863-4594 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477783199, enumerated in the NPI registry as an "organization" on July 15, 2009
The provider is located at 9925 214th Ave E Ste A Bonney Lake, Wa 98391 and the phone number is (253) 863-4594
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider's CLIA number is 50D2282128 for a "other - afh" 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 July 15, 2009. 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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