AJ CANON DENTAL
NPI 1639561467
Clinic/Center - Dental in Canon City, CO

NPI Status: Active since March 03, 2015

Contact Information

1227 S 9TH ST
CANON CITY, CO
ZIP 81212
Phone: (719) 285-4784
Fax: (719) 345-4120

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About AJ CANON DENTAL

This page provides the complete NPI Profile along with additional information for Aj Canon Dental, a provider established in Canon City, Colorado operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1639561467 assigned on March 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 10543 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Allen Jesse Lee Dmd (Owner)

NPI
1639561467
Provider Name
AJ CANON DENTAL
Entity Type
Organization
Location Address
1227 S 9TH ST CANON CITY, CO 81212
Location Phone
(719) 285-4784
Location Fax
(719) 345-4120
Mailing Address
1227 S 9TH ST CANON CITY, CO 81212
Mailing Phone
(719) 285-4784
Mailing Fax
(719) 345-4120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2015
Last Update Date
03-03-2015
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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
License No.
10543
License State
CO

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.

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. ALLEN JESSE LEE DMD

Authorized Official Title
OWNER
Authorized Official Phone
(650) 722-0005

Reviews for AJ CANON DENTAL

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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.
1639561467
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691062412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 6 + 2 + 4 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1639561467 is valid because the calculated check digit 7 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
1164765434HOUSE FAMILY DENTAL PC
Organization
Dentist (General Practice)1227 S 9TH ST
CANON CITY, CO 81212
(719) 924-8623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639561467, enumerated in the NPI registry as an "organization" on March 03, 2015

The provider is located at 1227 S 9th St Canon City, Co 81212 and the phone number is (719) 285-4784

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

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.

This NPI record was last updated on March 03, 2015. 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.