SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC
NPI 1568820702
Clinic/Center - Dental in Winchester, VA

NPI Status: Active since February 02, 2016

Contact Information

633 CEDAR CREEK GRADE
WINCHESTER, VA
ZIP 22601
Phone: (540) 450-2100

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 49D2189054
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-23-2026

About SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Smiles Of Virginia Family Dental Center, Pllc, a provider established in Winchester, Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568820702 assigned on February 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Niels Oestervemb D.d.s. (Owner)

NPI
1568820702
Provider Name
SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC
Entity Type
Organization
Location Address
633 CEDAR CREEK GRADE WINCHESTER, VA 22601
Location Phone
(540) 450-2100
Mailing Address
633 CEDAR CREEK GRADE WINCHESTER, VA 22601
Mailing Phone
(540) 450-2100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2016
Last Update Date
03-29-2024
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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. NIELS OESTERVEMB D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(319) 936-9008

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
49D2189054
Facility Type
Practitioner Other
Certificate Effective Date
July 24, 2024
Certificate Expiration Date
July 23, 2026
Laboratory Director
NIELS OESTERVEMB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Smiles Of Virginia Family Dental Center, Pllc 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.
1568820702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128162070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 2 + 0 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1568820702 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982151445DR. DEVIN COLE STITELY DMD
Individual
Dentist633 CEDAR CREEK GRADE
WINCHESTER, VA 22601
(540) 450-2210
1770896185DR. NIELS OESTERVEMB DDS
Individual
Dentist (General Practice)633 CEDAR CREEK GRADE
WINCHESTER, VA 22601
(540) 450-2100
1295300820 BYUNG YOON KIM DDS
Individual
Dentist (General Practice)633 CEDAR CREEK GRADE
WINCHESTER, VA 22601
(540) 450-2100
1932771425DR. CARLIE M ENNS DDS
Individual
Dentist (General Practice)633 CEDAR CREEK GRADE
WINCHESTER, VA 22601
(540) 450-2100
1679267561DR. GREGORY HAMILTON TRAVER DDS
Individual
Dentist633 CEDAR CREEK GRADE
WINCHESTER, VA 22601
(540) 450-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568820702, enumerated in the NPI registry as an "organization" on February 02, 2016

The provider is located at 633 Cedar Creek Grade Winchester, Va 22601 and the phone number is (540) 450-2100

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

The provider's CLIA number is 49D2189054 for a "practitioner other" 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 February 02, 2016. 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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