GENESIS DENTAL CLINIC
NPI 1619278298
Dentist - General Practice in Nokomis, FL
NPI Status: Active since November 12, 2010
Contact Information
247 TAMIAMI TRL S
NOKOMIS, FL
ZIP 34275
Phone: (941) 486-8500
Fax: (941) 412-9400
- Organization
- Dentist
- General Practice
- CLIA Number: 10D2132685
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-26-2027
About GENESIS DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Genesis Dental Clinic, a provider established in Nokomis, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1619278298 assigned on November 2010. The practitioner's primary taxonomy code is 1223G0001X with license number DN 4922 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. Genesis Dental Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Genesis Dental Clinic. The authorized official of this NPI record is Mr. James Mccloud (President/ceo)
- NPI
- 1619278298
- Provider Legal Name
- GENESIS HEALTH CLINIC & SERVICES, INC.
- Other Organization Name
- GENESIS DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 247 TAMIAMI TRL S NOKOMIS, FL 34275
- Location Phone
- (941) 486-8500
- Location Fax
- (941) 412-9400
- Mailing Address
- 3333 N WASHINGTON BLVD SUITE 3 SARASOTA, FL 34234
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-12-2010
- Last Update Date
- 11-12-2010
- Code Navigator
A dentist like Genesis Dental Clinic 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DN 4922
- License State
- FL
- 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 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 10D2132685
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 27, 2025
- Certificate Expiration Date
- June 26, 2027
- Laboratory Director
- HENRY EHRLICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genesis Dental Clinic 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. | |||||||||
| 1 | 6 | 1 | 9 | 2 | 7 | 8 | 2 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 4 | 7 | 16 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 4 + 7 + 1 + 6 + 2 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1619278298 is valid because the calculated check digit 8 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 1619278298, enumerated in the NPI registry as an "organization" on November 12, 2010
The provider is located at 247 Tamiami Trl S Nokomis, Fl 34275 and the phone number is (941) 486-8500
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider's CLIA number is 10D2132685 for a "community clinic" 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 November 12, 2010. 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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