ELKO-NEW MARKET DENTAL CLINIC
NPI 1720199953
Dentist - General Practice in Lakeville, MN

NPI Status: Active since August 31, 2006

Contact Information

9202 202ND ST W
SUITE 201
LAKEVILLE, MN
ZIP 55044
Phone: (952) 469-2818
Fax: (952) 469-2566

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About ELKO-NEW MARKET DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Elko-new Market Dental Clinic, a provider established in Lakeville, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720199953 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number D10525 (MN). The provider is registered as an organization and their NPI record was last updated 5 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 Elko-new Market Dental Clinic. The authorized official of this NPI record is Dr. Steven Blaine Petersen D.d.s. (Owner)

NPI
1720199953
Provider Legal Name
PETERSEN FAMILY DENTAL CLINIC PA
Other Organization Name
ELKO-NEW MARKET DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9202 202ND ST W SUITE 201 LAKEVILLE, MN 55044
Location Phone
(952) 469-2818
Location Fax
(952) 469-2566
Mailing Address
9202 202ND ST W SUITE 201 LAKEVILLE, MN 55044
Mailing Phone
(952) 469-2818
Mailing Fax
(952) 469-2566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Elko-new Market Dental Clinic 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.
D10525
License State
MN
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:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - 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

DR. STEVEN BLAINE PETERSEN D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(952) 469-2818

Reviews for ELKO-NEW MARKET DENTAL CLINIC

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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.
1720199953
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27402918910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 9 + 1 + 8 + 9 + 1 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1720199953 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497741185DR. CRAIG ALAN COUILLARD DC
Individual
Chiropractor (Sports Physician)9202 202ND ST W SUITE 203
LAKEVILLE, MN 55044
(952) 469-8385
1073558060DR. ZONGSHI JI BCS
Individual
Dentist (Endodontics)9202 202ND ST W SUITE 202
LAKEVILLE, MN 55044
(763) 670-0172
1184840365DR. STEVEN BLAINE PETERSEN DDS
Individual
Dentist (General Practice)9202 202ND ST W SUITE 201
LAKEVILLE, MN 55044
(952) 469-2818
1235495615 CYNTHIA SUSANNA VANSICKLER D.C.
Individual
Chiropractor9202 202ND ST W SUITE 203
LAKEVILLE, MN 55044
(952) 469-8385
1083087803 CAILIN MARIE SHURSON D.C.
Individual
Chiropractor9202 202ND ST W STE 203
LAKEVILLE, MN 55044
(952) 469-8385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720199953, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 9202 202nd St W Suite 201 Lakeville, Mn 55044 and the phone number is (952) 469-2818

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

The provider might be accepting Accepts: UnitedHealthcare. 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 August 31, 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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