EL DORADO FAMILY DENTISTRY
NPI 1609246404
Dentist - General Practice in El Dorado, KS

NPI Status: Active since October 06, 2015

Contact Information

202 N MAIN ST
EL DORADO, KS
ZIP 67042
Phone: (316) 321-0300

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance
  • CLIA Number: 17D1006693
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 11-25-2026

About EL DORADO FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for El Dorado Family Dentistry, a provider established in El Dorado, Kansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1609246404 assigned on October 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 61136 (KS). The provider is registered as an organization and their NPI record was last updated 10 years ago. El Dorado Family Dentistry operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. William S Rasband Dds (Dentist)

NPI
1609246404
Provider Name
EL DORADO FAMILY DENTISTRY
Entity Type
Organization
Location Address
202 N MAIN ST EL DORADO, KS 67042
Location Phone
(316) 321-0300
Mailing Address
202 N MAIN ST EL DORADO, KS 67042
Mailing Phone
(316) 321-0300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2015
Last Update Date
10-06-2015
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A dentist like El Dorado Family Dentistry 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.
61136
License State
KS
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

60660 (KS)
21223G0001XDental Providers

Dentist
General Practice

5311 (KS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

*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. WILLIAM S RASBAND DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(816) 651-7743

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
17D1006693
Facility Type
Prison
Certificate Effective Date
November 26, 2024
Certificate Expiration Date
November 25, 2026
Laboratory Director
C GORDON HARROD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to El Dorado Family Dentistry 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 DORADO FAMILY DENTISTRY

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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.
1609246404
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609441240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 4 + 1 + 2 + 4 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1609246404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285828608EL DORADO FAMILY DENTISTRY P.A.
Organization
Clinic/Center (Dental)202 N MAIN ST
EL DORADO, KS 67042
(316) 321-0300
1306007844DR. MICHAEL AUSTIN KEMMLING D.D.S.
Individual
Dentist202 N MAIN ST
EL DORADO, KS 67042
(316) 321-0300
1033345376DR. DONALD ANTHONY NICHOLS D.D.S.
Individual
Dentist (General Practice)202 N MAIN ST
EL DORADO, KS 67042
(316) 321-0300
1922239862 WILLIAM SPENCER RASBAND DDS
Individual
Dentist (General Practice)202 N MAIN ST
EL DORADO, KS 67042
(816) 651-7743

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609246404, enumerated in the NPI registry as an "organization" on October 06, 2015

The provider is located at 202 N Main St El Dorado, Ks 67042 and the phone number is (316) 321-0300

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 17D1006693 for a "prison" 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 October 06, 2015. 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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