SMILE SAN CLEMENTE
NPI 1962043919
Dentist - General Practice in San Clemente, CA

NPI Status: Active since October 01, 2019

Contact Information

653 CAMINO DE LOS MARES STE 113
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 248-7772

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  • Organization
  • Dentist
  • General Practice

About SMILE SAN CLEMENTE

This page provides the complete NPI Profile along with additional information for Smile San Clemente, a provider established in San Clemente, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1962043919 assigned on October 2019. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 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 Smile San Clemente. The authorized official of this NPI record is Dr. Shahin Mahallati Dds (Owner)

NPI
1962043919
Provider Legal Name
SHAHIN MAHALLATI DENTAL CORP
Other Organization Name
SMILE SAN CLEMENTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
653 CAMINO DE LOS MARES STE 113 SAN CLEMENTE, CA 92673
Location Phone
(949) 248-7772
Mailing Address
653 CAMINO DE LOS MARES STE 113 SAN CLEMENTE, CA 92673
Mailing Phone
(949) 248-7772
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2019
Last Update Date
11-10-2021
Code Navigator

A dentist like Smile San Clemente 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
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.

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. SHAHIN MAHALLATI DDS

Authorized Official Title
OWNER
Authorized Official Phone
(949) 248-7772

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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.
1962043919
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912204692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 4 + 6 + 9 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1962043919 is valid because the calculated check digit 9 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
1861409534DR. SACHIKO VIRGINIA FUKUMAN DDS
Individual
Dentist (General Practice)653 CAMINO DE LOS MARES STE 113
SAN CLEMENTE, CA 92673
(949) 248-7772
1487931598 SHAHIN MAHALLATI D.D.S.
Individual
Dentist (General Practice)653 CAMINO DE LOS MARES STE 113
SAN CLEMENTE, CA 92673
(949) 248-7772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962043919, enumerated in the NPI registry as an "organization" on October 01, 2019

The provider is located at 653 Camino De Los Mares Ste 113 San Clemente, Ca 92673 and the phone number is (949) 248-7772

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

This NPI record was last updated on October 01, 2019. 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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