GERALD L IGNACE INDIAN DENTAL CENTER, LLC
NPI 1710498514
Dentist - General Practice in Milwaukee, WI
NPI Status: Active since October 19, 2017
Contact Information
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204
Phone: (414) 389-9526
Fax: (414) 649-2711
- Organization
- Dentist
- General Practice
- Accepts Insurance
- CLIA Number: 52D0390279
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-31-2026
About GERALD L IGNACE INDIAN DENTAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Gerald L Ignace Indian Dental Center, Llc, a provider established in Milwaukee, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1710498514 assigned on October 2017. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated June 2025. 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
- NPI
- 1710498514
- Provider Legal Name
- GERALD L IGNACE INDIAN DENTAL CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204
- Location Phone
- (414) 389-9526
- Location Fax
- (414) 649-2711
- Mailing Address
- 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204
- Mailing Phone
- (414) 389-9526
- Mailing Fax
- (414) 649-2711
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2017
- Last Update Date
- 06-19-2025
- Code Navigator
A dentist like Gerald L Ignace Indian Dental Center, Llc 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
- 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:
- DentaTrust-PPO Family High Option - PPO
- DentaTrust-PPO Family Low Option - PPO
- DentaTrust-PPO Pediatric High Option - PPO
- DentaTrust-PPO Pediatric Low Option - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 52D0390279
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. MUSTANSIR MAJEED
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Gerald L Ignace Indian Dental Center, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 7 | 1 | 0 | 4 | 9 | 8 | 5 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 8 | 9 | 16 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 8 + 9 + 1 + 6 + 5 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1710498514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366803389 | DEBORAH H BLACK LPC Individual | Counselor (Professional) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1285035295 | DANIELLE LEE M.S., SAC, LPC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5004 |
| 1487180444 | LOREN RENDINO Individual | Dietitian, Registered | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5005 |
| 1003322728 | MRS. CLAUDIA H WEILAND RDH Individual | Dental Hygienist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1740537620 | DR. GEORGETTE K LUCEY-DURRANI RPH, PHARMD Individual | Pharmacist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5000 |
| 1285100222 | MS. WINIFRED L BUTLER LCSW Individual | Social Worker (Clinical) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5043 |
| 1184192965 | DANIEL LEE PRESTON Individual | Counselor (Addiction (Substance Use Disorder)) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5048 |
| 1023542933 | LYDIA BIEHR APNP Individual | Nurse Practitioner (Family) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1154677847 | DR. ELIZABETH R SEDGWICK DNP Individual | Nurse Practitioner (Pediatrics) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1033184759 | PAUL GINKEL M.D. Individual | Obstetrics & Gynecology | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1134270853 | MRS. MARILYN ELIZABETH LEFAIVRE P.T. Individual | Physical Therapist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1669656245 | EUGENE F BRAAKSMA PHD Individual | Psychologist (Clinical) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1205009354 | LILLIAN M SARDINA MS, ICS, CSAC, LPC Individual | Counselor (Mental Health) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1255684247 | DR. JONATHAN R BORESS PHARM.D, MBA Individual | Pharmacist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5113 |
| 1861156473 | ELLICIA WILDER LPC-IT, SAC-IT Individual | Counselor (Mental Health) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 383-9526 |
| 1730704115 | TANYA SCHEIDEGGER MS, LPC, NCC Individual | Counselor (Professional) | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5044 |
| 1134503410 | MR. BRAD ALLEN KOLAR PHARMD Individual | Pharmacist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5113 |
| 1619616059 | DIANA LILLIAN OSBERG RD Individual | Dietitian, Registered | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-5018 |
| 1487171054 | GERALD L. IGNACE INDIAN HEALTH CENTER, INC. Organization | Pharmacy | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (920) 809-6488 |
| 1356925143 | TABITHA FISCHER DDS Individual | Dentist | 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 (414) 316-3738 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710498514, enumerated in the NPI registry as an "organization" on October 19, 2017
The provider is located at 930 W Historic Mitchell St Milwaukee, Wi 53204 and the phone number is (414) 389-9526
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: DentaTrust/DentaSpan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0390279 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 19, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.