PEDIATRIC DENTISTRY OF SAN CLEMENTE
NPI 1902687346
Clinic/Center - Dental in San Clemente, CA
NPI Status: Active since October 11, 2023
Contact Information
903 CALLE AMANECER STE 110
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 361-2838
- Organization
- Clinic/Center
- Dental
About PEDIATRIC DENTISTRY OF SAN CLEMENTE
This page provides the complete NPI Profile along with additional information for Pediatric Dentistry Of San Clemente, a provider established in San Clemente, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1902687346 assigned on October 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jacob K Lee Dds (Ceo)
- NPI
- 1902687346
- Provider Name
- PEDIATRIC DENTISTRY OF SAN CLEMENTE
- Entity Type
- Organization
- Location Address
- 903 CALLE AMANECER STE 110 SAN CLEMENTE, CA 92673
- Location Phone
- (949) 361-2838
- Mailing Address
- 903 CALLE AMANECER STE 110 SAN CLEMENTE, CA 92673
- Mailing Phone
- (949) 361-2838
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2023
- Last Update Date
- 10-11-2023
- Code Navigator
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
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:
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 |
|---|---|---|---|
| 1790281202 | OTHER (01) | CA | NPPES |
| 1083768725 | OTHER (01) | CA | NPPES |
| 1437689395 | OTHER (01) | CA | NPPES |
Reviews for PEDIATRIC DENTISTRY OF SAN CLEMENTE
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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 | 9 | 0 | 2 | 6 | 8 | 7 | 3 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 12 | 8 | 14 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 1 + 2 + 8 + 1 + 4 + 3 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1902687346 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1790281202 | DR. CRYSTAL J LEE DDS Individual | Dentist (General Practice) | 903 CALLE AMANECER STE 110 SAN CLEMENTE, CA 92673 (949) 361-2838 |
| 1437689395 | AARON LEE Individual | Dentist (Pediatric Dentistry) | 903 CALLE AMANECER STE 110 SAN CLEMENTE, CA 92673 (949) 433-3597 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902687346, enumerated in the NPI registry as an "organization" on October 11, 2023
The provider is located at 903 Calle Amanecer Ste 110 San Clemente, Ca 92673 and the phone number is (949) 361-2838
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
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 October 11, 2023. 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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