BROADWAY DENTAL CENTER
NPI 1619073061
Dentist in Montesano, WA
NPI Status: Active since September 15, 2006
Contact Information
208 E BROADWAY AVE
MONTESANO, WA
ZIP 98563
Phone: (360) 249-3151
Fax: (360) 249-5129
- Organization
- Dentist
About BROADWAY DENTAL CENTER
This page provides the complete NPI Profile along with additional information for Broadway Dental Center, a provider established in Montesano, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1619073061 assigned on September 2006. The practitioner's primary taxonomy code is 122300000X with license number DE00008166 (WA). The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as Broadway Dental Center. The authorized official of this NPI record is Russell M Larsen Dds (Co-owner)
- NPI
- 1619073061
- Provider Legal Name
- LARSEN, DDS-BLANCHARD, DMD, PS
- Other Organization Name
- BROADWAY DENTAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 208 E BROADWAY AVE MONTESANO, WA 98563
- Location Phone
- (360) 249-3151
- Location Fax
- (360) 249-5129
- Mailing Address
- 208 E BROADWAY AVE MONTESANO, WA 98563
- Mailing Phone
- (360) 249-3151
- Mailing Fax
- (360) 249-5129
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Broadway Dental Center 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.
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
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- DE00008166
- License State
- WA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | DE00007407 (WA) |
Group Taxonomy 193400000X MULTIPLE 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:
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 |
|---|---|---|---|
| 5306808 | MEDICAID (05) | WA |
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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 | 6 | 1 | 9 | 0 | 7 | 3 | 0 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 0 | 7 | 6 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 0 + 7 + 6 + 0 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1619073061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992801336 | GREG LEO BLANCHARD DMD Individual | Dentist | 208 E BROADWAY AVE MONTESANO, WA 98563 (360) 249-3151 |
| 1013014471 | RUSSELL M LARSEN DDS Individual | Dentist | 208 E BROADWAY AVE MONTESANO, WA 98563 (360) 249-3151 |
| 1457702326 | DR. LANCE GUNTER D.D.S. Individual | Dentist | 208 E BROADWAY AVE MONTESANO, WA 98563 (360) 878-3654 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619073061, enumerated in the NPI registry as an "organization" on September 15, 2006
The provider is located at 208 E Broadway Ave Montesano, Wa 98563 and the phone number is (360) 249-3151
This medical organization specializes in Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 September 15, 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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