CHIYO SHIDARA D.D.S., APC
NPI 1568821635
Dentist - General Practice in Pinole, CA

NPI Status: Active since February 18, 2016

Contact Information

2150 APPIAN WAY STE 208
PINOLE, CA
ZIP 94564
Phone: (510) 741-7100
Fax: (510) 741-7335

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  • Organization
  • Dentist
  • General Practice

About CHIYO SHIDARA D.D.S., APC

This page provides the complete NPI Profile along with additional information for Chiyo Shidara D.d.s., Apc, a provider established in Pinole, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1568821635 assigned on February 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 48997 (CA). The provider is registered as an organization and their NPI record was last updated 10 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 Chiyo Shidara D.d.s. (President)

NPI
1568821635
Provider Name
CHIYO SHIDARA D.D.S., APC
Entity Type
Organization
Location Address
2150 APPIAN WAY STE 208 PINOLE, CA 94564
Location Phone
(510) 741-7100
Location Fax
(510) 741-7335
Mailing Address
605 RIDGEVIEW DR PLEASANT HILL, CA 94523
Mailing Phone
(415) 699-5554
Mailing Fax
(510) 741-7335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2016
Last Update Date
02-18-2016
Code Navigator

A dentist like Chiyo Shidara D.d.s., Apc 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
License No.
48997
License State
CA
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.

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

CHIYO SHIDARA D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(510) 741-7100

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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.
1568821635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128162266
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 + 2 + 6 + 6 + 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 1568821635 is valid because the calculated check digit 5 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
1467661827MRS. CAROL TAYLOR ROSE RDH
Individual
Dental Hygienist2150 APPIAN WAY STE 208
PINOLE, CA 94564
(510) 741-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568821635, enumerated in the NPI registry as an "organization" on February 18, 2016

The provider is located at 2150 Appian Way Ste 208 Pinole, Ca 94564 and the phone number is (510) 741-7100

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

This NPI record was last updated on February 18, 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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