IOWA PEDIATRIC DENTAL CENTER
NPI 1639595952
Dentist - Pediatric Dentistry in Coralville, IA

NPI Status: Active since March 11, 2014

Contact Information

501 12TH AVE
SUITE 202
CORALVILLE, IA
ZIP 52241
Phone: (319) 351-5439
Fax: (319) 354-0491

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  • Organization
  • Dentist
  • Pediatric Dentistry

About IOWA PEDIATRIC DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Iowa Pediatric Dental Center, a provider established in Coralville, Iowa operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1639595952 assigned on March 2014. The practitioner's primary taxonomy code is 1223P0221X with license number 08193 (IA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Donald Craig Peterson Jr. D.d.s. (Doctor/owner)

NPI
1639595952
Provider Name
IOWA PEDIATRIC DENTAL CENTER
Entity Type
Organization
Location Address
501 12TH AVE SUITE 202 CORALVILLE, IA 52241
Location Phone
(319) 351-5439
Location Fax
(319) 354-0491
Mailing Address
501 12TH AVE SUITE 202 CORALVILLE, IA 52241
Mailing Phone
(319) 351-5439
Mailing Fax
(319) 354-0491
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2014
Last Update Date
03-11-2014
Code Navigator

A dentist like Iowa Pediatric Dental Center 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.

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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

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
08193
License State
IA
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. DONALD CRAIG PETERSON JR. D.D.S.

Authorized Official Title
DOCTOR/OWNER
Authorized Official Phone
(319) 351-5439

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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.
1639595952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266910910910
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 + 1 + 0 + 9 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1639595952 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386753234DR. JOHN ROBERT STRIEF D.D.S.
Individual
Dentist (General Practice)501 12TH AVE SUITE 200
CORALVILLE, IA 52241
(319) 337-2241
1417030057DR. DONALD C PETERSON JR. DDS
Individual
Dentist (Pediatric Dentistry)501 12TH AVE SUITE 202
CORALVILLE, IA 52241
(319) 351-5439
1972687911 DAVID PAUL BOYSEN M.D.
Individual
Dermatology501 12TH AVE SUITE 101
CORALVILLE, IA 52241
(319) 337-3177
1851475750 THOMAS CHARLES BOYSEN M.D.
Individual
Dermatology501 12TH AVE SUITE 101
CORALVILLE, IA 52241
(319) 337-3177
1912103979DERMATOLOGY ASSOCIATES LLP
Organization
Dermatology501 12TH AVE SUITE 101
CORALVILLE, IA 52241
(319) 337-3177
1952500365DR. ADRIENNE S GUNSTREAM DDS, MS
Individual
Dentist (Periodontics)501 12TH AVE SUITE 202
CORALVILLE, IA 52241
(319) 351-5439
1982883336 CLAUDETTE J HEDDENS ARNP
Individual
Nurse Practitioner (Adult Health)501 12TH AVE SUITE 102
CORALVILLE, IA 52241
(319) 337-3740
1497932842JILL H SCHOLZ
Organization
Clinic/Center501 12TH AVE SUITE 203
CORALVILLE, IA 52241
(319) 341-3668
1649403296 SUSAN C PUHL M.D.
Individual
Dermatology501 12TH AVE SUITE 101
CORALVILLE, IA 52241
(319) 337-3177
1083947667EASTERN IOWA PERIODONTICS, PC
Organization
Dentist (Periodontics)501 12TH AVE SUITE 202
CORALVILLE, IA 52241
(319) 351-5439
1487002762 ALICE CLAUSSEN L,AC.
Individual
Acupuncturist501 12TH AVE SUITE 102
CORALVILLE, IA 52241
(319) 351-7382
1073572640IOWA CITY PLASTIC SURGERY LLC
Organization
Specialist501 12TH AVE SUITE 102
CORALVILLE, IA 52241
(319) 337-3740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639595952, enumerated in the NPI registry as an "organization" on March 11, 2014

The provider is located at 501 12th Ave Suite 202 Coralville, Ia 52241 and the phone number is (319) 351-5439

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on March 11, 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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