COUNRTYSIDE DENTAL
NPI 1538238589
Dentist - General Practice in Clearwater, FL

NPI Status: Active since November 06, 2006

Contact Information

2165 PALMETTO STREET
CLEARWATER, FL
ZIP 33765
Phone: (727) 669-2887
Fax: (727) 669-9103

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About COUNRTYSIDE DENTAL

This page provides the complete NPI Profile along with additional information for Counrtyside Dental, a provider established in Clearwater, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1538238589 assigned on November 2006. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 14 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. Debra L Gonzalez (Office Manager)

NPI
1538238589
Provider Name
COUNRTYSIDE DENTAL
Entity Type
Organization
Location Address
2165 PALMETTO STREET CLEARWATER, FL 33765
Location Phone
(727) 669-2887
Location Fax
(727) 669-9103
Mailing Address
2165 PALMETTO STREET CLEARWATER, FL 33765
Mailing Phone
(727) 669-2887
Mailing Fax
(727) 669-9103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
09-27-2011
Code Navigator

A dentist like Counrtyside Dental 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.

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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

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*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

MRS. DEBRA L GONZALEZ

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(727) 669-2887

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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.
1538238589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25684316516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 4 + 3 + 1 + 6 + 5 + 1 + 6 + 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 = 99

The NPI number 1538238589 is valid because the calculated check digit 9 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 1538238589, enumerated in the NPI registry as an "organization" on November 06, 2006

The provider is located at 2165 Palmetto Street Clearwater, Fl 33765 and the phone number is (727) 669-2887

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Aetna CVS Health. 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 November 06, 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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