DENTAL SOURCE OF CALIFORNIA
NPI 1477883015
Clinic/Center - Dental in Fresno, CA

NPI Status: Active since January 04, 2010

Contact Information

3485 W SHAW AVE
SUITE #104
FRESNO, CA
ZIP 93711
Phone: (559) 276-7995
Fax: (559) 276-7997

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  • Organization
  • Clinic/Center
  • Dental

About DENTAL SOURCE OF CALIFORNIA

This page provides the complete NPI Profile along with additional information for Dental Source Of California, a provider established in Fresno, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1477883015 assigned on January 2010. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Dental Source Of California. The authorized official of this NPI record is Dr. Donald Clarke D.d.s. (Corporation President)

NPI
1477883015
Provider Legal Name
DONALD E. CLARKE, D.D.S., INC.
Other Organization Name
DENTAL SOURCE OF CALIFORNIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3485 W SHAW AVE SUITE #104 FRESNO, CA 93711
Location Phone
(559) 276-7995
Location Fax
(559) 276-7997
Mailing Address
3485 W SHAW AVE SUITE #104 FRESNO, CA 93711
Mailing Phone
(559) 276-7995
Mailing Fax
(559) 276-7997
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2010
Last Update Date
01-04-2010
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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

DR. DONALD CLARKE D.D.S.

Authorized Official Title
CORPORATION PRESIDENT
Authorized Official Phone
(916) 487-0117

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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.
1477883015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147168602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 8 + 6 + 0 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1477883015 is valid because the calculated check digit 5 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 1477883015, enumerated in the NPI registry as an "organization" on January 04, 2010

The provider is located at 3485 W Shaw Ave Suite #104 Fresno, Ca 93711 and the phone number is (559) 276-7995

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

This NPI record was last updated on January 04, 2010. 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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