SOUTHRIDGE DENTAL
NPI 1003010877
Dentist - General Practice in Nampa, ID

NPI Status: Active since June 13, 2007

Contact Information

2811 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 466-2458
Fax: (208) 465-6303

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  • Organization
  • Dentist
  • General Practice

About SOUTHRIDGE DENTAL

Southridge Dental is a provider established in Nampa, Idaho operating as a Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1003010877 assigned on June 2007. The practitioner's primary taxonomy code is 1223G0001X with license number D3499 (ID). 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 authorized official of this NPI record is Dr. Robert Alan Pratt D.m.d. (Dentist)

NPI
1003010877
Provider Name
SOUTHRIDGE DENTAL
Entity Type
Organization
Location Address
2811 12TH AVE RD NAMPA, ID 83686
Location Phone
(208) 466-2458
Location Fax
(208) 465-6303
Mailing Address
2811 12TH AVE RD NAMPA, ID 83686
Mailing Phone
(208) 466-2458
Mailing Fax
(208) 465-6303
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-13-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Southridge Dental 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.

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.
D3499
License State
ID
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. ROBERT ALAN PRATT D.M.D.

Authorized Official Title
DENTIST
Authorized Official Phone
(208) 466-2458

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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.
1003010877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003010814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 8 + 1 + 4 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003010877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053503573DR. KELLY E CARLEN DDS
Individual
Dentist2811 12TH AVE RD
NAMPA, ID 83686
(208) 461-1060
1689849598KELLY E. CARLEN, DDS PLLC
Organization
Clinic/Center (Dental)2811 12TH AVE RD
NAMPA, ID 83686
(208) 461-1060
1891954343SOUTHRIDGE DENTAL
Organization
Dentist (General Practice)2811 12TH AVE RD
NAMPA, ID 83686
(208) 466-2458
1962714139DR. SHAWN D LEE D.M.D.
Individual
Dentist (General Practice)2811 12TH AVE RD
NAMPA, ID 83686
(208) 466-2458
1437660388SLEEP RIGHT IDAHO PLLC
Organization
Dentist (General Practice)2811 12TH AVE RD
NAMPA, ID 83686
(208) 466-2458
1457593584TODD L SQUIRES DDC PLLC
Organization
Dentist (General Practice)2811 12TH AVE RD
NAMPA, ID 83686
(208) 466-2458
1063894145 TODD SQUIRES DDS
Individual
Dentist (General Practice)2811 12TH AVE RD
NAMPA, ID 83686
(208) 466-2458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003010877, enumerated in the NPI registry as an "organization" on June 13, 2007

The provider is located at 2811 12th Ave Rd Nampa, Id 83686 and the phone number is (208) 466-2458

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

This NPI record was last updated on June 13, 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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