SMILE CLUBHOUSE
NPI 1952027591
Dentist - Pediatric Dentistry in Springfield, MO

NPI Status: Active since October 14, 2022

Contact Information

2910 E BATTLEFIELD ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 444-6776

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  • Organization
  • Dentist
  • Pediatric Dentistry

About SMILE CLUBHOUSE

This page provides the complete NPI Profile along with additional information for Smile Clubhouse, a provider established in Springfield, Missouri operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1952027591 assigned on October 2022. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 3 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. Trent Duane Madsen Dmd (Owner)

NPI
1952027591
Provider Name
SMILE CLUBHOUSE
Entity Type
Organization
Location Address
2910 E BATTLEFIELD ST SPRINGFIELD, MO 65804
Location Phone
(417) 444-6776
Mailing Address
2910 E BATTLEFIELD ST SPRINGFIELD, MO 65804
Mailing Phone
(417) 444-6776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2022
Last Update Date
10-14-2022
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A dentist like Smile Clubhouse 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
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

DR. TRENT DUANE MADSEN DMD

Authorized Official Title
OWNER
Authorized Official Phone
(480) 789-9554

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
400111093MEDICAID (05)MO 

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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.
1952027591
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291020214518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 0 + 2 + 1 + 4 + 5 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1952027591 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669461406DR. JOHN D GRAF DDS
Individual
Dentist (General Practice)2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
(417) 866-7647
1609288653DOVE DENTAL GROUP, LLC
Organization
Dentist2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
(417) 866-7647
1568724508DR. STEPHEN G DOVE D.D.S.
Individual
Dentist2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
(417) 866-7647
1639707649 TRENT DUANE MADSEN DMD
Individual
Dentist (Pediatric Dentistry)2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
(417) 444-6776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952027591, enumerated in the NPI registry as an "organization" on October 14, 2022

The provider is located at 2910 E Battlefield St Springfield, Mo 65804 and the phone number is (417) 444-6776

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 October 14, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.