KENNETH C. CLARK DDS,MS
NPI 1639568603
Clinic/Center - Dental in Green Bay, WI
NPI Status: Active since January 14, 2015
Contact Information
2524 HILLSIDE HEIGHTS DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 246-6118
- Organization
- Clinic/Center
- Dental
About KENNETH C. CLARK DDS,MS
This page provides the complete NPI Profile along with additional information for Kenneth C. Clark Dds,ms, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1639568603 assigned on January 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 3707-15 (WI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Kenneth Charles Clark D.d.s., M.s. (Endodontist)
- NPI
- 1639568603
- Provider Name
- KENNETH C. CLARK DDS,MS
- Entity Type
- Organization
- Location Address
- 2524 HILLSIDE HEIGHTS DR GREEN BAY, WI 54311
- Location Phone
- (920) 246-6118
- Mailing Address
- 2524 HILLSIDE HEIGHTS DR GREEN BAY, WI 54311
- Mailing Phone
- (920) 246-6118
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2015
- Last Update Date
- 01-14-2015
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3707-15
- License State
- WI
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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 | 3 | 9 | 5 | 6 | 8 | 6 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 6 | 16 | 6 | 0 | |
| 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 + 1 + 6 + 6 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1639568603 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619336229 | DR. KENNETH CLARK D.D.S. Individual | Dentist (Endodontics) | 2524 HILLSIDE HEIGHTS DR GREEN BAY, WI 54311 (920) 246-6118 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639568603, enumerated in the NPI registry as an "organization" on January 14, 2015
The provider is located at 2524 Hillside Heights Dr Green Bay, Wi 54311 and the phone number is (920) 246-6118
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
This NPI record was last updated on January 14, 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].
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