PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
NPI 1619694734
Dentist - Dental Public Health in Fresno, CA
NPI Status: Active since October 20, 2022
Contact Information
7766 N PALM AVE STE 104
FRESNO, CA
ZIP 93711
Phone: (559) 906-0209
- Organization
- Dentist
- Dental Public Health
- Accepts Insurance
- CLIA Number: 05D2297651
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-17-2026
About PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
This page provides the complete NPI Profile along with additional information for Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto, a provider established in Fresno, California operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1619694734 assigned on October 2022. The practitioner's primary taxonomy code is 1223D0001X. The provider is registered as an organization and their NPI record was last updated 3 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 Dr. Jordan David Prieto (Dds/owner)
- NPI
- 1619694734
- Provider Name
- PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
- Entity Type
- Organization
- Location Address
- 7766 N PALM AVE STE 104 FRESNO, CA 93711
- Location Phone
- (559) 906-0209
- Mailing Address
- 1900 SHAW AVE STE 101 CLOVIS, CA 93611
- Mailing Phone
- (559) 906-0209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2022
- Last Update Date
- 10-31-2022
- Code Navigator
A dentist like Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto 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 Dental Public Health
- Taxonomy Code
- 1223D0001X
- Type
- Dental Providers
- Taxonomy Description
- The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 05D2297651
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- SHAILESH SHAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto 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 PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
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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 | 6 | 9 | 4 | 7 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 12 | 9 | 8 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 2 + 9 + 8 + 7 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1619694734 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891549002 | CALIFORNIA PEDIATRIC ANESTHESIA CONSULTANTS Organization | Anesthesiology (Pediatric Anesthesiology) | 7766 N PALM AVE STE 104 FRESNO, CA 93711 (559) 250-8344 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619694734, enumerated in the NPI registry as an "organization" on October 20, 2022
The provider is located at 7766 N Palm Ave Ste 104 Fresno, Ca 93711 and the phone number is (559) 906-0209
This medical organization specializes in Dentist with taxonomy code 1223D0001X with a focus in Dental Public Health
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2297651 for a "ambulatory surgery center" 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 20, 2022. 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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