BELMONT & CALIFORNIA DENTAL
NPI 1669888947
Dentist in Chicago, IL

NPI Status: Active since July 07, 2014

Contact Information

3190 N ELSTON AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 267-9777

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  • Organization
  • Dentist
  • CLIA Number: 14D2063789
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-07-2025

About BELMONT & CALIFORNIA DENTAL

This page provides the complete NPI Profile along with additional information for Belmont & California Dental, a provider established in Chicago, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1669888947 assigned on July 2014. The practitioner's primary taxonomy code is 122300000X with license number 019.029076 (IL). 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 provider's is doing business as Belmont & California Dental. The authorized official of this NPI record is Dr. George E Barsa Dds (Owner)

NPI
1669888947
Provider Legal Name
GE BARSA DDS LTD.
Other Organization Name
BELMONT & CALIFORNIA DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3190 N ELSTON AVE CHICAGO, IL 60618
Location Phone
(773) 267-9777
Mailing Address
3190 N ELSTON AVE CHICAGO, IL 60618
Mailing Phone
(773) 267-9777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2014
Last Update Date
07-07-2014
Code Navigator

A dentist like Belmont & California Dental 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
019.029076
License State
IL
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X MULTIPLE 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:

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.

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. GEORGE E BARSA DDS

Authorized Official Title
OWNER
Authorized Official Phone
(773) 267-9777

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
1699026302OTHER (01)ILNPI
1497952816OTHER (01)ILNPI
1194156042OTHER (01)ILNPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2063789
Facility Type
Physician Office
Certificate Effective Date
August 08, 2023
Certificate Expiration Date
August 07, 2025
Laboratory Director
GOLIE ROSHANDEL KEOVAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Belmont & California Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BELMONT & CALIFORNIA 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.
1669888947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291681698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 6 + 8 + 1 + 6 + 9 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1669888947 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114022191JUAN G MESA, DDS PC
Organization
Dentist3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1174721088DR. JAIRO H PATINO D.D.S.
Individual
Dentist3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1386813897 JUAN G MESA DDS
Individual
Dentist3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1780856757JAIRO H PATINO DDS PC
Organization
Exclusive Provider Organization3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1023429800LUBNA KADIR DDS PC
Organization
Clinic/Center (Dental)3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1194156042DR. LUBNA KADIR DDS
Individual
Dentist3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 267-9777
1497551741ENAMEL DENTAL SALON PC
Organization
Clinic/Center (Dental)3190 N ELSTON AVE
CHICAGO, IL 60618
(773) 564-9916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669888947, enumerated in the NPI registry as an "organization" on July 07, 2014

The provider is located at 3190 N Elston Ave Chicago, Il 60618 and the phone number is (773) 267-9777

This medical organization specializes in Dentist with taxonomy code 122300000X

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.

The provider's CLIA number is 14D2063789 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 07, 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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