OLYMPIC DENTAL & DENTURE CENTER,LLC
NPI 1750409827
Clinic/Center - Dental in Tacoma, WA

NPI Status: Active since March 27, 2007

Contact Information

3720 6TH AVE STE A
TACOMA, WA
ZIP 98406
Phone: (253) 752-1320
Fax: (253) 752-1425

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About OLYMPIC DENTAL & DENTURE CENTER,LLC

This page provides the complete NPI Profile along with additional information for Olympic Dental & Denture Center,llc, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1750409827 assigned on March 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Richard C Johnson Ld (Owner)

NPI
1750409827
Provider Name
OLYMPIC DENTAL & DENTURE CENTER,LLC
Entity Type
Organization
Location Address
3720 6TH AVE STE A TACOMA, WA 98406
Location Phone
(253) 752-1320
Location Fax
(253) 752-1425
Mailing Address
3720 6TH AVE STE A TACOMA, WA 98406
Mailing Phone
(253) 752-1320
Mailing Fax
(253) 752-1425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
02-11-2010
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • 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

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

MR. RICHARD C JOHNSON LD

Authorized Official Title
OWNER
Authorized Official Phone
(253) 752-1320

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
2050411OTHER (01)WAUNITED CONCORDIA
5056817MEDICAID (05)WA 

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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.
1750409827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100801884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 8 + 8 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1750409827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750409827, enumerated in the NPI registry as an "organization" on March 27, 2007

The provider is located at 3720 6th Ave Ste A Tacoma, Wa 98406 and the phone number is (253) 752-1320

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

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. 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 March 27, 2007. 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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