ADVANCED FAMILY DENTISTRY PC
NPI 1790796134
Dentist in Nampa, ID
NPI Status: Active since August 10, 2006
Contact Information
1603-D 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 468-0590
Fax: (208) 468-9910
- Organization
- Dentist
- CLIA Number: 13D2323368
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-05-2027
About ADVANCED FAMILY DENTISTRY PC
This page provides the complete NPI Profile along with additional information for Advanced Family Dentistry Pc, a provider established in Nampa, Idaho operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1790796134 assigned on August 2006. The practitioner's primary taxonomy code is 122300000X with license number D3047 (ID). 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 authorized official of this NPI record is Dr. Marco Vinicio Galvez Dds (President)
- NPI
- 1790796134
- Provider Name
- ADVANCED FAMILY DENTISTRY PC
- Entity Type
- Organization
- Location Address
- 1603-D 12TH AVE RD NAMPA, ID 83686
- Location Phone
- (208) 468-0590
- Location Fax
- (208) 468-9910
- Mailing Address
- 1603-D 12TH AVE RD NAMPA, ID 83686
- Mailing Phone
- (208) 468-0590
- Mailing Fax
- (208) 468-9910
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Advanced Family Dentistry Pc 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.
- D3047
- License State
- ID
- 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.
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
- 13D2323368
- Facility Type
- Physician Office
- Certificate Effective Date
- May 06, 2025
- Certificate Expiration Date
- May 05, 2027
- Laboratory Director
- GARY N. GREGERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Family Dentistry Pc 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 | 9 | 0 | 7 | 9 | 6 | 1 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 9 | 12 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 2 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1790796134 is valid because the calculated check digit 4 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 1790796134, enumerated in the NPI registry as an "organization" on August 10, 2006
The provider is located at 1603-d 12th Ave Rd Nampa, Id 83686 and the phone number is (208) 468-0590
This medical organization specializes in Dentist with taxonomy code 122300000X
The provider's CLIA number is 13D2323368 for a "physician office" 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 August 10, 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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