EL RIO SOUTHWEST DENTAL CLINIC
NPI 1528487782
Clinic/Center - Dental in Tucson, AZ
NPI Status: Active since April 15, 2014
Contact Information
1500 W COMMERCE CT
BLDG 03
TUCSON, AZ
ZIP 85746
Phone: (520) 770-2786
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 03D1037106
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-03-2026
About EL RIO SOUTHWEST DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for El Rio Southwest Dental Clinic, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1528487782 assigned on April 2014. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as El Rio Southwest Dental Clinic. The authorized official of this NPI record is Clinton Kuntz (Ceo)
- NPI
- 1528487782
- Provider Legal Name
- EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
- Other Organization Name
- EL RIO SOUTHWEST DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1500 W COMMERCE CT BLDG 03 TUCSON, AZ 85746
- Location Phone
- (520) 770-2786
- Mailing Address
- PO BOX 1231 TUCSON, AZ 85702
- Mailing Phone
- (520) 670-3909
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-15-2014
- Last Update Date
- 01-24-2023
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- EssentialSmile Arizona - Total Care - EPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
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.
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 |
|---|---|---|---|
| 947949 | MEDICAID (05) | AZ |
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
- 03D1037106
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 04, 2024
- Certificate Expiration Date
- April 03, 2026
- Laboratory Director
- ANNETTE P. GUTIERREZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to El Rio Southwest Dental Clinic 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.
Reviews for EL RIO SOUTHWEST DENTAL CLINIC
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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 | 5 | 2 | 8 | 4 | 8 | 7 | 7 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 8 | 8 | 14 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 8 + 8 + 1 + 4 + 7 + 1 + 6 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1528487782 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 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437133642 | BARBARA NOVAK CNM Individual | Midwife | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1528424876 | DR. CHARLES LEE BROWN III DMD Individual | Dentist (Pediatric Dentistry) | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1841701257 | DR. SABRINA SYKES PHARMD Individual | Pharmacist | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 309-3601 |
| 1043735624 | KELSEY LORRAINE SPECIALE PHARMD, CDCES Individual | Pharmacist (Ambulatory Care) | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 309-3103 |
| 1174927727 | EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1500 W COMMERCE CT BLDG 01, 02 TUCSON, AZ 85746 (520) 309-3006 |
| 1932657574 | LORIE FERNANDEZ RDH Individual | Dental Hygienist | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 770-2700 |
| 1083692628 | SARAH SAMOY MD Individual | Pediatrics | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1093026593 | MICHELLE L AGUILAR MD Individual | Pediatrics | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1124002324 | RAJIV MODAK MD Individual | Pediatrics | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1295795714 | RAMA SIRISHA DASARI MD Individual | Internal Medicine (Geriatric Medicine) | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1619027919 | VICKI T HICKS Individual | Social Worker | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1316195340 | LADAWN RENEE BURROUS PNP Individual | Nurse Practitioner (Pediatrics) | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1477870913 | MARIPOSA WOLFORD M.D. Individual | Pediatrics | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1811969579 | PATRICIA STREMPLE MD Individual | Pediatrics | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1205309580 | DR. DANIEL CHRISTOPHER LOPEZ FNP-BC Individual | Nurse Practitioner (Primary Care) | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1114999877 | LISA SOLTANI MD Individual | Internal Medicine | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1649609892 | SUSANA DOMINGUEZ RDH Individual | Dental Hygienist | 1500 W COMMERCE CT TUCSON, AZ 85746 (520) 670-3909 |
| 1750672929 | EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1500 W COMMERCE CT BLDG 01, 02 TUCSON, AZ 85746 (520) 806-2650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528487782, enumerated in the NPI registry as an "organization" on April 15, 2014
The provider is located at 1500 W Commerce Ct Bldg 03 Tucson, Az 85746 and the phone number is (520) 770-2786
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Solstice. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D1037106 for a "community clinic" 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 April 15, 2014. 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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