KIDS DENTAL OF CENTRALIA, P.C.
NPI 1659796076
Dentist - General Practice in Centralia, WA

NPI Status: Active since February 21, 2014

Contact Information

1611 KRESKY AVE
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-5437

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About KIDS DENTAL OF CENTRALIA, P.C.

This page provides the complete NPI Profile along with additional information for Kids Dental Of Centralia, P.c., a provider established in Centralia, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1659796076 assigned on February 2014. The practitioner's primary taxonomy code is 1223G0001X with license number DE60282727 (WA). 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 Justin Vanbibber (Owner)

NPI
1659796076
Provider Name
KIDS DENTAL OF CENTRALIA, P.C.
Entity Type
Organization
Location Address
1611 KRESKY AVE CENTRALIA, WA 98531
Location Phone
(360) 736-5437
Mailing Address
1611 KRESKY AVE CENTRALIA, WA 98531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2014
Last Update Date
02-21-2014
Code Navigator

A dentist like Kids Dental Of Centralia, P.c. 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DE60282727
License State
WA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - 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

JUSTIN VANBIBBER

Authorized Official Title
OWNER
Authorized Official Phone
(360) 736-5437

Reviews for KIDS DENTAL OF CENTRALIA, P.C.

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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.
1659796076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610914912014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659796076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407939556DR. BART C TIRRELL D.D.S., M.S.D., P.S.
Individual
Dentist (Endodontics)1611 KRESKY AVE SUITE 110
CENTRALIA, WA 98531
(360) 807-0703
1104026483DR. MICHELLE BERGMANN WILSON DDS
Individual
Dentist (General Practice)1611 KRESKY AVE SUITE 118
CENTRALIA, WA 98531
(360) 736-1114
1104080910DR. CHRISTIAN PATRICK WILSON D.D.S.
Individual
Dentist (General Practice)1611 KRESKY AVE SUITE 118
CENTRALIA, WA 98531
(360) 736-1114
1437218211DR. FLOYD D SMITH M.D.
Individual
Internal Medicine1611 KRESKY AVE SUITE 112
CENTRALIA, WA 98531
(360) 330-2023
1932597077FLOYD D SMITH, MD, INTERNAL MEDICINE, PS
Organization
Clinic/Center (Medical Specialty)1611 KRESKY AVE SUITE 112
CENTRALIA, WA 98531
(360) 330-2023
1528236577DR. JOSHUA D BLUME D.C.
Individual
Chiropractor1611 KRESKY AVE SUITE 108
CENTRALIA, WA 98531
(360) 330-1800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659796076, enumerated in the NPI registry as an "organization" on February 21, 2014

The provider is located at 1611 Kresky Ave Centralia, Wa 98531 and the phone number is (360) 736-5437

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. 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 February 21, 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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