CANTON DENTAL CLINIC
NPI 1619412384
Dentist in Canton, SD

NPI Status: Active since January 04, 2017

Contact Information

1110 W 5TH ST
CANTON, SD
ZIP 57013
Phone: (605) 987-2721

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  • Organization
  • Dentist

About CANTON DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Canton Dental Clinic, a provider established in Canton, South Dakota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1619412384 assigned on January 2017. The practitioner's primary taxonomy code is 122300000X with license number D1004 (SD). The provider is registered as an organization and their NPI record was last updated 9 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 Canton Dental Clinic. The authorized official of this NPI record is Dr. Chris J Diaz-freed Dds (Dentist)

NPI
1619412384
Provider Legal Name
CHRIS DIAZ-FREED DENTAL PROF LLC
Other Organization Name
CANTON DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1110 W 5TH ST CANTON, SD 57013
Location Phone
(605) 987-2721
Mailing Address
1110 W 5TH ST CANTON, SD 57013
Mailing Phone
(605) 987-2721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2017
Last Update Date
01-04-2017
Code Navigator

A dentist like Canton 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.

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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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D1004
License State
SD
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.

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

DR. CHRIS J DIAZ-FREED DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(605) 987-2721

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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.
1619412384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629814316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 1 + 4 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1619412384 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275687741 MELISSA BRANDNER DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1245384718DR. GORDON SCHULTE DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1083837801DR. CHAD S LEWISON DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 764-3179
1184820615DR. DANE STEFFEN DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1124403969 LAURA PRANKE D.D.S.
Individual
Dentist1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1710335708DR. LUCAS JAMES WIEBE D.D.S
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1912521766 BLAKE HULT DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 764-3179
1134273600DR. GORDON D SCHULTE PC
Organization
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1477155646CHAD S LEWISON, DDS,PC
Organization
Clinic/Center (Dental)1110 W 5TH ST
CANTON, SD 57013
(605) 764-3179
1871207167SOUTH DAKOTA DENTAL ASSOCIATES PLLC
Organization
Dentist1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721
1821980889 SYDNEY KATHERINE SCHULTZ DDS
Individual
Dentist (General Practice)1110 W 5TH ST
CANTON, SD 57013
(605) 987-2721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619412384, enumerated in the NPI registry as an "organization" on January 04, 2017

The provider is located at 1110 W 5th St Canton, Sd 57013 and the phone number is (605) 987-2721

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on January 04, 2017. 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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