STUART BOEKELOO, DDS, PC
NPI 1629712062
Clinic/Center - Dental in Saint Joseph, MI

NPI Status: Active since April 22, 2022

Contact Information

2525 S CLEVELAND AVE
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 429-6101

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  • Organization
  • Clinic/Center
  • Dental

About STUART BOEKELOO, DDS, PC

This page provides the complete NPI Profile along with additional information for Stuart Boekeloo, Dds, Pc, a provider established in Saint Joseph, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1629712062 assigned on April 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Stuart W Boekeloo (Dentist)

NPI
1629712062
Provider Name
STUART BOEKELOO, DDS, PC
Entity Type
Organization
Location Address
2525 S CLEVELAND AVE SAINT JOSEPH, MI 49085
Location Phone
(269) 429-6101
Mailing Address
2525 S CLEVELAND AVE SAINT JOSEPH, MI 49085
Mailing Phone
(269) 429-6101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2022
Last Update Date
04-22-2022
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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

STUART W BOEKELOO

Authorized Official Title
DENTIST
Authorized Official Phone
(269) 429-6101

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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.
1629712062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26491414012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 4 + 1 + 4 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1629712062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497885404 MICHAEL JOSEPH STUSICK D.D.S.P.C.
Individual
Dentist (General Practice)2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1356569602DR. STUART WILLIAM BOEKELOO D.D.S.
Individual
Dentist (General Practice)2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-6101
1346414885DR. SUZANNE P. TRIEMSTRA D.D.S.
Individual
Dentist (General Practice)2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1598117616GREAT LAKES FAMILY DENTAL GROUP-ST. JOSEPH
Organization
Dentist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(810) 625-2860
1811496615 LORRAINE JEAN HALPIN
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1982103727 MARLA BRAJE SHORTMAN
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1851890446 IRENE MIZER ADAMS
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1841799566 YVONNE M. DESJARDINS
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1922507664 KIM ELIZABETH EDINGER
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1851890552 MARY JANE KNAUF-WOLF
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1831699271 MELISSA DUSTIN
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1083117121 IRENE DRACH
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1033676341 ELIZABETH WELCH
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1447802871 ABBY KNISS
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1245858687 REBEKAH ROSENBAUM
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(126) 942-9158
1144830456 CYNTHIA MARA
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(126) 942-9158
1578227013CRAIG C BROWN DMD & JOHN C LUCZAK DMD PLLC
Organization
Clinic/Center (Dental)2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1598412736 TERESA COOTS
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1518685890 MARGARET BARTA RDH
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587
1972280428 KIGHLE FLAMM
Individual
Dental Hygienist2525 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
(269) 429-1587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629712062, enumerated in the NPI registry as an "organization" on April 22, 2022

The provider is located at 2525 S Cleveland Ave Saint Joseph, Mi 49085 and the phone number is (269) 429-6101

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on April 22, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.