DENTAL SPECIALISTS OF NW ARIZONA
NPI 1831554930
Dentist - Periodontics in Lake Havasu City, AZ

NPI Status: Active since December 16, 2015

Contact Information

2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-5551

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  • Organization
  • Dentist
  • Periodontics

About DENTAL SPECIALISTS OF NW ARIZONA

This page provides the complete NPI Profile along with additional information for Dental Specialists Of Nw Arizona, a provider established in Lake Havasu City, Arizona operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1831554930 assigned on December 2015. The practitioner's primary taxonomy code is 1223P0300X with license number 8823 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. Dental Specialists Of Nw Arizona operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Ryan Lavene D.d.s. (Endodontist)

NPI
1831554930
Provider Name
DENTAL SPECIALISTS OF NW ARIZONA
Entity Type
Organization
Location Address
2152 MCCULLOCH BLVD N STE C LAKE HAVASU CITY, AZ 86403
Location Phone
(928) 854-5551
Mailing Address
2152 MCCULLOCH BLVD N STE C LAKE HAVASU CITY, AZ 86403
Mailing Phone
(928) 854-5551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2015
Last Update Date
12-16-2015
Code Navigator

A dentist like Dental Specialists Of Nw Arizona 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
8823
License State
AZ
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223E0200XDental Providers

Dentist
Endodontics

8793 (AZ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. RYAN LAVENE D.D.S.

Authorized Official Title
ENDODONTIST
Authorized Official Phone
(928) 854-5551

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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.
1831554930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861105896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 5 + 8 + 9 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1831554930 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538319348MRS. REBECCA ANN LAVENE D.M.D
Individual
Dentist (Periodontics)2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
(310) 947-2631
1659500940DR. RYAN LAVENE DDS
Individual
Dentist (Endodontics)2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
(928) 854-5551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831554930, enumerated in the NPI registry as an "organization" on December 16, 2015

The provider is located at 2152 Mcculloch Blvd N Ste C Lake Havasu City, Az 86403 and the phone number is (928) 854-5551

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on December 16, 2015. 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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