FREEDOM FAMILY, COSMETIC AND SEDATION DENTAL
NPI 1720579485
Clinic/Center - Dental in Fairfield, CA

NPI Status: Active since May 29, 2018

Contact Information

2201 BOYNTON AVE
FAIRFIELD, CA
ZIP 94533
Phone: (702) 422-2236

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  • Organization
  • Clinic/Center
  • Dental

About FREEDOM FAMILY, COSMETIC AND SEDATION DENTAL

This page provides the complete NPI Profile along with additional information for Freedom Family, Cosmetic And Sedation Dental, a provider established in Fairfield, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720579485 assigned on May 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 61992 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Freedom Family, Cosmetic And Sedation Dental. The authorized official of this NPI record is Cheng Zhu Dmd (Dentist)

NPI
1720579485
Provider Legal Name
CHENG ZHU DMD DENTAL GROUP INC
Other Organization Name
FREEDOM FAMILY, COSMETIC AND SEDATION DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2201 BOYNTON AVE FAIRFIELD, CA 94533
Location Phone
(702) 422-2236
Mailing Address
2201 BOYNTON AVE FAIRFIELD, CA 94533
Mailing Phone
(702) 422-2236
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2018
Last Update Date
05-29-2018
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
61992
License State
CA

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

CHENG ZHU DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(707) 422-2236

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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.
1720579485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010718416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 7 + 1 + 8 + 4 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1720579485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588715767 ALEX MING SHAW D.D.S
Individual
Dentist (General Practice)2201 BOYNTON AVE
FAIRFIELD, CA 94533
(707) 422-2236
1831240910 EDWARD JAMES FINSILVER D.M.D.
Individual
Dentist (General Practice)2201 BOYNTON AVE
FAIRFIELD, CA 94533
(707) 422-2236
1770604647FREEMAN FAMILY DENTISTRY
Organization
Dentist (General Practice)2201 BOYNTON AVE
FAIRFIELD, CA 94533
(707) 422-2236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720579485, enumerated in the NPI registry as an "organization" on May 29, 2018

The provider is located at 2201 Boynton Ave Fairfield, Ca 94533 and the phone number is (702) 422-2236

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on May 29, 2018. 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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