RIVER VALLEY PEDIATRIC DENTISTRY PLLC
NPI 1487775011
Dentist - Pediatric Dentistry in Fort Smith, AR

NPI Status: Active since April 02, 2007

Contact Information

417 S 16TH ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 783-4182
Fax: (479) 783-4379

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  • Organization
  • Dentist
  • Pediatric Dentistry

About RIVER VALLEY PEDIATRIC DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for River Valley Pediatric Dentistry Pllc, a provider established in Fort Smith, Arkansas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1487775011 assigned on April 2007. The practitioner's primary taxonomy code is 1223P0221X with license number 3089 (AR). The provider is registered as an organization and their NPI record was last updated 17 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 provider's former legal business name is Johnston Lawrence River Valley Pediatric Dentistry Pllc. The authorized official of this NPI record is Dr. Timothy Wayne Lawrence (Owner)

NPI
1487775011
Provider Legal Name
RIVER VALLEY PEDIATRIC DENTISTRY PLLC
Other Organization Name
JOHNSTON LAWRENCE RIVER VALLEY PEDIATRIC DENTISTRY PLLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
417 S 16TH ST FORT SMITH, AR 72901
Location Phone
(479) 783-4182
Location Fax
(479) 783-4379
Mailing Address
417 S 16TH ST FORT SMITH, AR 72901
Mailing Phone
(479) 783-4182
Mailing Fax
(479) 783-4379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2007
Last Update Date
07-01-2008
Code Navigator

A dentist like River Valley Pediatric Dentistry Pllc 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.
3089
License State
AR
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:

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.

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. TIMOTHY WAYNE LAWRENCE

Authorized Official Title
OWNER
Authorized Official Phone
(479) 783-4182

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
155183631MEDICAID (05)AR 
131026608MEDICAID (05)AR 

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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.
1487775011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671471002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 1 + 0 + 0 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1487775011 is valid because the calculated check digit 1 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
1891855789DR. TIMOTHY WAYNE LAWRENCE DDS
Individual
Dentist (Pediatric Dentistry)417 S 16TH ST
FORT SMITH, AR 72901
(479) 783-4182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487775011, enumerated in the NPI registry as an "organization" on April 02, 2007

The provider is located at 417 S 16th St Fort Smith, Ar 72901 and the phone number is (479) 783-4182

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

The provider might be accepting Accepts: Medicare and Medicaid. 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 April 02, 2007. 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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