JOHNSON CREEK DENTAL OFFICE
NPI 1629699863
Dentist in Happy Valley, OR

NPI Status: Active since April 28, 2020

Contact Information

9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR
ZIP 97086
Phone: (800) 813-2000

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  • Organization
  • Dentist

About JOHNSON CREEK DENTAL OFFICE

This page provides the complete NPI Profile along with additional information for Johnson Creek Dental Office, a provider established in Happy Valley, Oregon operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1629699863 assigned on April 2020. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Johnson Creek Dental Office 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 Johnson Creek Dental Office. The authorized official of this NPI record is Stephen Shawn Barton (Executive Director, Revenue Cycle)

NPI
1629699863
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name
JOHNSON CREEK DENTAL OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9300 SE 91ST AVE STE 310 HAPPY VALLEY, OR 97086
Location Phone
(800) 813-2000
Mailing Address
500 NE MULTNOMAH ST PORTLAND, OR 97232
Mailing Phone
(800) 813-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-28-2020
Last Update Date
06-01-2021
Code Navigator

A dentist like Johnson Creek Dental Office 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
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 193200000X MULTI-SPECIALTY GROUP

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

STEPHEN SHAWN BARTON

Authorized Official Title
EXECUTIVE DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(503) 813-2440

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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.
1629699863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264912918812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 2 + 9 + 1 + 8 + 8 + 1 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1629699863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174096473MS. VICTORIA KAYE WORTHINGTON EFDA
Individual
Dental Assistant9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
(503) 772-7888
1861956658 KEARA THOMAS
Individual
Dental Assistant9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
(503) 772-7888
1760029151MRS. ARVIE CARAGATAN CABRERA EFDA
Individual
Dental Assistant9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
(971) 201-5702
1962917724 CHERYL ANN DRENNAN RDH, BSDH
Individual
Dental Hygienist9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
(503) 813-2000
1235557935 JENNIFER TENG
Individual
Dentist (General Practice)9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
(818) 913-5265

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629699863, enumerated in the NPI registry as an "organization" on April 28, 2020

The provider is located at 9300 Se 91st Ave Ste 310 Happy Valley, Or 97086 and the phone number is (800) 813-2000

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on April 28, 2020. 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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