DENTAL- ST PAUL DENTAL CLINIC
NPI 1922555820
Dentist - General Practice in St Paul, AK

NPI Status: Active since September 08, 2016

Contact Information

1000 POLOVINA TURNPIKE
ST PAUL, AK
ZIP 99660
Phone: (907) 546-8300

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  • Organization
  • Dentist
  • General Practice

About DENTAL- ST PAUL DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Dental- St Paul Dental Clinic, a provider established in St Paul, Alaska operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1922555820 assigned on September 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 20467 (AK). The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as Dental- St Paul Dental Clinic. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1922555820
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
DENTAL- ST PAUL DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 POLOVINA TURNPIKE ST PAUL, AK 99660
Location Phone
(907) 546-8300
Mailing Address
PO BOX 35151 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-08-2016
Last Update Date
09-18-2023
Code Navigator

A dentist like Dental- St Paul Dental Clinic 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
20467
License State
AK
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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

RONALD LEE OLSON

Authorized Official Title
EXECUTIVE VICE PRESIDENT FINANCE
Authorized Official Phone
(907) 729-4939

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
1654581MEDICAID (05)AK 

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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.
1922555820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29421051084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 0 + 5 + 1 + 0 + 8 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1922555820 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902235187 CHERYL MELOVIDOV REGISTERED NURSE
Individual
Registered Nurse1000 POLOVINA TURNPIKE
SAINT PAUL ISLAND, AK 99660
(907) 546-8300
1316419096 CARA PAIGE ALEXANDRA LESTENKOF-MANDREGAN CHA-1
Individual
Community Health Worker1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
(907) 546-8300
1124682091 AUBREY WEGELEBEN CDCI, ABHC
Individual
Counselor (Addiction (Substance Use Disorder))1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660
(907) 546-8300
1649916313 KAREN ANN PHILEMONOFF
Individual
Community Health Worker1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-8300
1578184693MS. DESIREE LYNN HILBORN APRN, FNP-C
Individual
Nurse Practitioner (Family)1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660
(907) 546-8300
1922405406SOUTHCENTRAL FOUNDATION
Organization
Clinic/Center (Multi-Specialty)1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-8300
1669093837TRIBAL GOVERNMENT OF ST. PAUL ISLAND
Organization
Clinic/Center (Community Health)1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
(907) 546-8301
1831596311SOUTHCENTRAL FOUNDATION
Organization
Community/Behavioral Health1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-2310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922555820, enumerated in the NPI registry as an "organization" on September 08, 2016

The provider is located at 1000 Polovina Turnpike St Paul, Ak 99660 and the phone number is (907) 546-8300

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

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 September 08, 2016. 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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