ERIC BLASINGAME DDS, MS, INC
NPI 1720227812
Dentist - Periodontics in Redding, CA
NPI Status: Active since February 12, 2009
Contact Information
384 HARTNELL AVE STE A
REDDING, CA
ZIP 96002
Phone: (530) 241-3302
Fax: (530) 241-3321
- Organization
- Dentist
- Periodontics
- CLIA Number: 05D2269433
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-25-2026
About ERIC BLASINGAME DDS, MS, INC
This page provides the complete NPI Profile along with additional information for Eric Blasingame Dds, Ms, Inc, a provider established in Redding, California operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1720227812 assigned on February 2009. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Eric Blasingame Dds, Ms, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Russell C. Holpuch Dds, Inc. The authorized official of this NPI record is Eric M. Blasingame Dds, Ms (President/ Periodontist)
- NPI
- 1720227812
- Provider Legal Name
- ERIC BLASINGAME DDS, MS, INC
- Other Organization Name
- RUSSELL C. HOLPUCH DDS, INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 384 HARTNELL AVE STE A REDDING, CA 96002
- Location Phone
- (530) 241-3302
- Location Fax
- (530) 241-3321
- Mailing Address
- 384 HARTNELL AVE STE A REDDING, CA 96002
- Mailing Phone
- (530) 241-3302
- Mailing Fax
- (530) 241-3321
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2009
- Last Update Date
- 12-20-2019
- Code Navigator
A dentist like Eric Blasingame Dds, Ms, Inc 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 Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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.
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
- 05D2269433
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 26, 2024
- Certificate Expiration Date
- September 25, 2026
- Laboratory Director
- ERIC BLASINGAME
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eric Blasingame Dds, Ms, Inc 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.
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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 | 2 | 0 | 2 | 2 | 7 | 8 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 2 | 14 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 2 + 1 + 4 + 8 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1720227812 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 |
|---|---|---|---|
| 1891207015 | DR. WILLIAM LISKA DDS Individual | Dentist (Periodontics) | 384 HARTNELL AVE STE A REDDING, CA 96002 (530) 241-3302 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720227812, enumerated in the NPI registry as an "organization" on February 12, 2009
The provider is located at 384 Hartnell Ave Ste A Redding, Ca 96002 and the phone number is (530) 241-3302
This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics
The provider's CLIA number is 05D2269433 for a "practitioner other" 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 February 12, 2009. 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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