ETEMADI DENTAL CORPORATION
NPI 1699842492
Dentist in Rancho Cucamonga, CA

NPI Status: Active since November 29, 2006

Contact Information

12729 FOOTHILL BLVD
SUITE # A
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 899-8757
Fax: (909) 899-8760

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  • Organization
  • Dentist

About ETEMADI DENTAL CORPORATION

This page provides the complete NPI Profile along with additional information for Etemadi Dental Corporation, a provider established in Rancho Cucamonga, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1699842492 assigned on November 2006. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Etemadi Dental Corporation 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 Dr. Khashayar Etemadi Dds (President)

NPI
1699842492
Provider Name
ETEMADI DENTAL CORPORATION
Entity Type
Organization
Location Address
12729 FOOTHILL BLVD SUITE # A RANCHO CUCAMONGA, CA 91739
Location Phone
(909) 899-8757
Location Fax
(909) 899-8760
Mailing Address
12729 FOOTHILL BLVD SUITE # A RANCHO CUCAMONGA, CA 91739
Mailing Phone
(909) 899-8757
Mailing Fax
(909) 899-8760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
10-13-2021
Code Navigator

A dentist like Etemadi Dental Corporation 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

Taxonomy Code
122300000X
Type
Dental Providers
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.

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)
11223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

 

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.

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. KHASHAYAR ETEMADI DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 899-8757

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
868675OTHER (01)CAUNITED CONCORDIA
G9124301OTHER (01)CAMEDICAL

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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.
1699842492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891644418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 4 + 4 + 4 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1699842492 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245498229DR. AZADEH PAYDAR D.D.S.
Individual
Dentist12729 FOOTHILL BLVD SUITE # A
RANCHO CUCAMONGA, CA 91739
(909) 899-8757

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699842492, enumerated in the NPI registry as an "organization" on November 29, 2006

The provider is located at 12729 Foothill Blvd Suite # A Rancho Cucamonga, Ca 91739 and the phone number is (909) 899-8757

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.

This NPI record was last updated on November 29, 2006. 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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