SOUTHRIDGE DENTAL NPI 1003010877
Dentist - General Practice in Nampa, ID
About SOUTHRIDGE DENTAL
Southridge Dental is a provider established in Nampa, Idaho operating as a Dentist with a focus in general practice . The NPI number of this provider is 1003010877 and was 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 3 years ago. Southridge Dental 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 |
| Location Address | 2811 12TH AVE RD NAMPA, ID 83686 |
| Location Phone | (208) 466-2458 |
| Mailing Address | 2811 12TH AVE RD NAMPA, ID 83686 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 06-13-2007 |
| Last Update Date | 08-22-2020 |
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..
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 1223G0001X |
| Classification | Dentist |
| Type | Dental Providers |
| Specialization | General Practice |
| 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. |
Business Address
2811 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 466-2458
Fax: (208) 465-6303
Mailing Address
2811 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 466-2458
Fax: (208) 465-6303
Location Map
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.
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 0 | 8 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 8 | 14 | |
| 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 = 7 | 7 | ||||||||
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 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053503573 | DR. KELLY E CARLEN DDS Individual | Dentist | 2811 12TH AVE RD NAMPA, ID 83686 (208) 461-1060 |
| 1689849598 | KELLY E. CARLEN, DDS PLLC Organization | Clinic/Center (Dental) | 2811 12TH AVE RD NAMPA, ID 83686 (208) 461-1060 |
| 1891954343 | SOUTHRIDGE DENTAL Organization | Dentist (General Practice) | 2811 12TH AVE RD NAMPA, ID 83686 (208) 466-2458 |
| 1962714139 | DR. SHAWN D LEE D.M.D. Individual | Dentist (General Practice) | 2811 12TH AVE RD NAMPA, ID 83686 (208) 466-2458 |
| 1437660388 | SLEEP RIGHT IDAHO PLLC Organization | Dentist (General Practice) | 2811 12TH AVE RD NAMPA, ID 83686 (208) 466-2458 |
| 1508816000 | DR. ROARKE JAKE MILLER DMD Individual | Dentist (General Practice) | 2811 12TH AVE RD NAMPA, ID 83686 (208) 466-2322 |
| 1457593584 | TODD 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
What is SOUTHRIDGE DENTAL NPI number?
The NPI number assigned to this healthcare provider is 1003010877, registered as an "organization" on June 13, 2007
Where is SOUTHRIDGE DENTAL located?
The provider is located at 2811 12th Ave Rd Nampa, Id 83686 and the phone number is (208) 466-2458
What kind of medical provider is SOUTHRIDGE DENTAL?
This medical organization specializes in Dentist with a focus in General Practice
How do I update my NPI information?
The NPI record of SOUTHRIDGE DENTAL 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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