MERIDIAN PEDIATRIC DENTISTRY, PLLC
NPI 1811156722
Dentist - Pediatric Dentistry in Meridian, ID

NPI Status: Active since June 05, 2008

Contact Information

1550 E HERITAGE PARK ST STE 150
MERIDIAN, ID
ZIP 83646
Phone: (208) 288-2719
Fax: (208) 288-2579

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  • Organization
  • Dentist
  • Pediatric Dentistry

About MERIDIAN PEDIATRIC DENTISTRY, PLLC

This page provides the complete NPI Profile along with additional information for Meridian Pediatric Dentistry, Pllc, a provider established in Meridian, Idaho operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1811156722 assigned on June 2008. The practitioner's primary taxonomy code is 1223P0221X with license number D-3592-PD (ID). The provider is registered as an organization and their NPI record was last updated 17 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 Toby Merriman (Owner)

NPI
1811156722
Provider Name
MERIDIAN PEDIATRIC DENTISTRY, PLLC
Entity Type
Organization
Location Address
1550 E HERITAGE PARK ST STE 150 MERIDIAN, ID 83646
Location Phone
(208) 288-2719
Location Fax
(208) 288-2579
Mailing Address
1550 E HERITAGE PARK ST STE 150 MERIDIAN, ID 83646
Mailing Phone
(208) 288-2719
Mailing Fax
(208) 288-2579
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2008
Last Update Date
06-05-2008
Code Navigator

A dentist like Meridian Pediatric Dentistry, 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.

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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

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
D-3592-PD
License State
ID
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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.

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

TOBY MERRIMAN

Authorized Official Title
OWNER
Authorized Official Phone
(208) 288-2719

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
806274800MEDICAID (05)ID 

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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.
1811156722
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821251274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 2 + 5 + 1 + 2 + 7 + 4 + 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 = 22

The NPI number 1811156722 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
1447921747CSC DENTAL PC
Organization
Clinic/Center (Dental)1550 E HERITAGE PARK ST STE 150
MERIDIAN, ID 83646
(208) 288-2719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811156722, enumerated in the NPI registry as an "organization" on June 05, 2008

The provider is located at 1550 E Heritage Park St Ste 150 Meridian, Id 83646 and the phone number is (208) 288-2719

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

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 June 05, 2008. 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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