1101 DENTAL, PLLC
NPI 1750689030
Dentist in Grand Forks, ND
NPI Status: Active since March 10, 2011
Contact Information
1101 S COLUMBIA RD
UNIT B
GRAND FORKS, ND
ZIP 58201
Phone: (701) 795-1101
Fax: (701) 795-1102
- Organization
- Dentist
About 1101 DENTAL, PLLC
This page provides the complete NPI Profile along with additional information for 1101 Dental, Pllc, a provider established in Grand Forks, North Dakota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1750689030 assigned on March 2011. The practitioner's primary taxonomy code is 122300000X with license number 2083 (ND). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Heather Nichole Petricig D.d.s. (Owner/dentist)
- NPI
- 1750689030
- Provider Name
- 1101 DENTAL, PLLC
- Entity Type
- Organization
- Location Address
- 1101 S COLUMBIA RD UNIT B GRAND FORKS, ND 58201
- Location Phone
- (701) 795-1101
- Location Fax
- (701) 795-1102
- Mailing Address
- 1101 S COLUMBIA RD UNIT B GRAND FORKS, ND 58201
- Mailing Phone
- (701) 795-1101
- Mailing Fax
- (701) 795-1102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2011
- Last Update Date
- 03-10-2011
- Code Navigator
A dentist like 1101 Dental, Pllc 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
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 2083
- License State
- ND
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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:
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.
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 |
|---|---|---|---|
| 41566 | MEDICAID (05) | ND |
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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 | 5 | 0 | 6 | 8 | 9 | 0 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 8 | 18 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 1 + 8 + 0 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750689030 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1871762088 | RAPIDCARE URGENT CARE Organization | Family Medicine | 1101 S COLUMBIA RD GRAND FORKS, ND 58201 (701) 738-0095 |
| 1629248448 | MAVES EYEWEAR, LLC Organization | Eyewear Supplier | 1101 S COLUMBIA RD GRAND FORKS, ND 58201 (701) 775-4114 |
| 1346496015 | HANS BJELLUM, MD, PC Organization | Clinic/Center (Urgent Care) | 1101 S COLUMBIA RD GRAND FORKS, ND 58201 (701) 738-0095 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750689030, enumerated in the NPI registry as an "organization" on March 10, 2011
The provider is located at 1101 S Columbia Rd Unit B Grand Forks, Nd 58201 and the phone number is (701) 795-1101
This medical organization specializes in Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 10, 2011. 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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