PENINSULA PEDIATRIC DENTAL PRACTICE
NPI 1639590003
Dentist - Pediatric Dentistry in San Mateo, CA
NPI Status: Active since January 02, 2014
Contact Information
50 S SAN MATEO DR STE 160
SAN MATEO, CA
ZIP 94401
Phone: (650) 375-8300
Fax: (650) 375-8130
- Organization
- Dentist
- Pediatric Dentistry
About PENINSULA PEDIATRIC DENTAL PRACTICE
This page provides the complete NPI Profile along with additional information for Peninsula Pediatric Dental Practice, a provider established in San Mateo, California operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1639590003 assigned on January 2014. The practitioner's primary taxonomy code is 1223P0221X with license number 61391 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Peninsula Pediatric Dental Practice operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jan Murray (Office Manager)
- NPI
- 1639590003
- Provider Name
- PENINSULA PEDIATRIC DENTAL PRACTICE
- Entity Type
- Organization
- Location Address
- 50 S SAN MATEO DR STE 160 SAN MATEO, CA 94401
- Location Phone
- (650) 375-8300
- Location Fax
- (650) 375-8130
- Mailing Address
- 50 S SAN MATEO DR STE 160 SAN MATEO, CA 94401
- Mailing Phone
- (650) 375-8300
- Mailing Fax
- (650) 375-8130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2014
- Last Update Date
- 01-02-2014
- Code Navigator
A dentist like Peninsula Pediatric Dental Practice 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.
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
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 61391
- License State
- CA
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223P0221X | Dental Providers | Dentist | 22673 (CA) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1386792919 | OTHER (01) | CA | ALL INSURANCE CARRIER |
| 1386792919 | OTHER (01) | CA | DENTICAL |
Reviews for PENINSULA PEDIATRIC DENTAL PRACTICE
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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 | 9 | 0 | 0 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 9 | 0 | 0 | 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 + 9 + 0 + 0 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1639590003 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023412921 | DR. BRADLEY SMITH D.M.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 50 S SAN MATEO DR STE 160 SAN MATEO, CA 94401 (305) 778-0827 |
| 1790096154 | DR. TYLER DAVIS DMD Individual | Dentist (Pediatric Dentistry) | 50 S SAN MATEO DR STE 160 SAN MATEO, CA 94401 (650) 375-8300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639590003, enumerated in the NPI registry as an "organization" on January 02, 2014
The provider is located at 50 S San Mateo Dr Ste 160 San Mateo, Ca 94401 and the phone number is (650) 375-8300
This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
The provider might be accepting Accepts: Medicare and Medicaid. 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 January 02, 2014. 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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