PROGRESSIVE DENTISTRY, INC.
NPI 1639331135
Point of Service in Bellevue, WA

NPI Status: Active since June 26, 2008

Contact Information

12816 SE 38TH ST STE I
BELLEVUE, WA
ZIP 98006
Phone: (425) 747-7650
Fax: (425) 653-1502

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  • Organization
  • Point of Service
  • CLIA Number: 50D2280909
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About PROGRESSIVE DENTISTRY, INC.

This page provides the complete NPI Profile along with additional information for Progressive Dentistry, Inc., a provider established in Bellevue, Washington operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1639331135 assigned on June 2008. The practitioner's primary taxonomy code is 305S00000X with license number 602708926 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Behrooz Zamani (C.f.o.)

NPI
1639331135
Provider Name
PROGRESSIVE DENTISTRY, INC.
Entity Type
Organization
Location Address
12816 SE 38TH ST STE I BELLEVUE, WA 98006
Location Phone
(425) 747-7650
Location Fax
(425) 653-1502
Mailing Address
12816 SE 38TH ST STE I BELLEVUE, WA 98006
Mailing Phone
(425) 747-7650
Mailing Fax
(425) 653-1502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2008
Last Update Date
06-26-2008
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
602708926
License State
WA
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

BEHROOZ ZAMANI

Authorized Official Title
C.F.O.
Authorized Official Phone
(425) 747-7650

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
50D2280909
Facility Type
Other - AFH
Certificate Effective Date
April 27, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
MAGDALENA TERMURE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Progressive Dentistry, Inc. 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.
1639331135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266963216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 3 + 2 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639331135 is valid because the calculated check digit 5 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 1639331135, enumerated in the NPI registry as an "organization" on June 26, 2008

The provider is located at 12816 Se 38th St Ste I Bellevue, Wa 98006 and the phone number is (425) 747-7650

This medical organization specializes in Point of Service with taxonomy code 305S00000X

The provider's CLIA number is 50D2280909 for a "other - afh" 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 June 26, 2008. 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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