COMMUNITY DENTAL CARE
NPI 1992102040
Point of Service in Maplewood, MN

NPI Status: Active since December 04, 2014

Contact Information

1670 BEAM AVE
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 925-8400

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  • Organization
  • Point of Service

About COMMUNITY DENTAL CARE

This page provides the complete NPI Profile along with additional information for Community Dental Care, a provider established in Maplewood, Minnesota operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1992102040 assigned on December 2014. The practitioner's primary taxonomy code is 305S00000X with license number H9154 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Vacharee Peterson Dds (Ceo)

NPI
1992102040
Provider Name
COMMUNITY DENTAL CARE
Entity Type
Organization
Location Address
1670 BEAM AVE MAPLEWOOD, MN 55109
Location Phone
(651) 925-8400
Mailing Address
1670 BEAM AVE MAPLEWOOD, MN 55109
Mailing Phone
(651) 925-8400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2014
Last Update Date
12-04-2014
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
H9154
License State
MN
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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. VACHAREE PETERSON DDS

Authorized Official Title
CEO
Authorized Official Phone
(651) 925-8400

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
124Q00000XMEDICAID (05)MN 

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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.
1992102040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918220408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 2 + 0 + 4 + 0 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1992102040 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417100629COMMUNITY EYE CLINIC
Organization
Optometrist1670 BEAM AVE STE 202
MAPLEWOOD, MN 55109
(651) 777-6149
1710114921 THYRA JAGGER
Individual
Dentist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1679864078MS. KATHLEEN ANN IVERSON LDH
Individual
Dental Hygienist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1881988723DR. SHIVAN ELIZABETH NELSON DDS
Individual
Dentist1670 BEAM AVE # 204
MAPLEWOOD, MN 55109
(651) 925-8400
1447516851 MEGAN MEYER M.D.T.
Individual
Dental Assistant1670 BEAM AVE #204
MAPLEWOOD, MN 55109
(651) 925-8400
1962764571 KATHERINE ANNETTE SIEVERT D.D.S.
Individual
Dentist (General Practice)1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1598093726 ERIN TOPLEY DDS
Individual
Dentist (General Practice)1670 BEAM AVE COMMUNITY DENTAL CARE
MAPLEWOOD, MN 55109
(651) 925-8400
1750633376 AMY ANN PEARSON LDH
Individual
Dental Hygienist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1285071795MRS. ALICIA MICHELLE BIBEAU LDH
Individual
Dental Hygienist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1518305838 DIANE MARIE FISH D.D.S
Individual
Dentist (General Practice)1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1720426877DR. TYLER GORDON BEINLICH D.D.S.
Individual
Dentist1670 BEAM AVE SUITE #204
MAPLEWOOD, MN 55109
(651) 925-8400
1942634597DR. MALLORY GOWEY DDS
Individual
Dentist1670 BEAM AVE SUITE 204
MAPLEWOOD, MN 55109
(651) 925-8400
1831509827METROPOLITAN STATE UNIVERSITY
Organization
Dentist (General Practice)1670 BEAM AVE #203
MAPLEWOOD, MN 55109
(651) 621-8840
1689086217 ROSS JOHN SCHAFER D.D.S.
Individual
Dentist1670 BEAM AVE SUITE 204
MAPLEWOOD, MN 55109
(651) 925-8400
1235311614COMMUNITY DENTAL CARE INC
Organization
Dentist (General Practice)1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1417364472 AUDREY PERKINS DDS
Individual
Dentist1670 BEAM AVE
SAINT PAUL, MN 55109
(651) 925-8400
1639437080DR. NOAH PAUL BERGE DDS
Individual
Dentist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1740657949 BAO TRAN D.D.S
Individual
Dentist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1619346046 KATHLEEN MARIE GRIMM RDH
Individual
Dental Hygienist1670 BEAM AVE
MAPLEWOOD, MN 55109
(651) 925-8400
1053807016123 BRUSH DENTAL LLC
Organization
Clinic/Center (Dental)1670 BEAM AVE STE 202
MAPLEWOOD, MN 55109
(651) 779-4195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992102040, enumerated in the NPI registry as an "organization" on December 04, 2014

The provider is located at 1670 Beam Ave Maplewood, Mn 55109 and the phone number is (651) 925-8400

This medical organization specializes in Point of Service with taxonomy code 305S00000X

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 December 04, 2014. 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.