SHANNON MARIE KRUCKEBERG RDH
NPI 1003002882
Dental Hygienist in Claremont, MN

NPI Status: Active since September 14, 2007

Contact Information

63407 130TH AVE
CLAREMONT, MN
ZIP 55924
Phone: (507) 319-6845

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  • Individual
  • Female
  • Dental Hygienist

About SHANNON KRUCKEBERG

Shannon Kruckeberg is a provider established in Claremont, Minnesota and her medical specialization is Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1003002882 assigned on September 2007. The practitioner's primary taxonomy code is 124Q00000X with license number H6343 (MN). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI1003002882
Provider NameSHANNON MARIE KRUCKEBERG RDH
Location Address63407 130TH AVE CLAREMONT, MN 55924
Location Phone(507) 319-6845
Mailing Address63407 130TH AVE CLAREMONT, MN 55924
GenderFemale
Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date09-14-2007
Last Update Date11-16-2009
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Location Map

Mailing Address

63407 130TH AVE
CLAREMONT, MN
ZIP 55924
Phone: (507) 319-6845

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

Dental Hygienist

Taxonomy Code124Q00000X
TypeDental Providers
License No.H6343
License StateMN
Taxonomy DescriptionAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

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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.
1003002882
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003004816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 8 + 1 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003002882 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861720245HEALTHY SMILES, INC.
Organization
Voluntary or Charitable63407 130TH AVE
CLAREMONT, MN 55924
(507) 319-6845

Frequently Asked Questions

What is Shannon Kruckeberg RDH NPI number?

The NPI number assigned to this healthcare provider is 1003002882, enumerated in the NPI registry as an "individual" on September 14, 2007

Where is the provider located?

The provider is located at 63407 130th Ave Claremont, Mn 55924 and the phone number is (507) 319-6845

What is the provider specialty code?

The provider's speciality is Dental Hygienist with taxonomy code 124Q00000X

How do I update my NPI information?

This NPI record was last updated on September 14, 2007. 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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