GREENVILLE PEDIATRIC DENTISTRY, P.A. NPI 1003022930

Dentist (Pediatric Dentistry) in Greenville, TX

NPI 1003022930 Organization Dentist Pediatric Dentistry

NPI Profile for GREENVILLE PEDIATRIC DENTISTRY, P.A.

Greenville Pediatric Dentistry, P.a. is a provider established in Greenville, Texas specializing in dentist (pediatric dentistry) . The NPI number of Greenville Pediatric Dentistry, P.a. is 1003022930 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223P0221X with license number 19282 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. Greenville Pediatric Dentistry, P.a. 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 Kathryn Ann Kreider Dmd (President)

A dentist like Greenville Pediatric Dentistry, P.a. 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.

NPI

1003022930

Provider NameGREENVILLE PEDIATRIC DENTISTRY, P.A.
Provider Location Address3101 JOE RAMSEY BLVD E SUITE 103A GREENVILLE, TX 75401
Provider Mailing Address3101 JOE RAMSEY BLVD E SUITE 103A GREENVILLE, TX 75401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-15-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223P0221X
ClassificationDentist
TypeDental Providers
SpecializationPediatric Dentistry
License No.19282
License StateTX
Taxonomy DescriptionAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

GREENVILLE PEDIATRIC DENTISTRY, P.A.
3101 JOE RAMSEY BLVD E
SUITE 103A
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-0771

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Mailing Address

GREENVILLE PEDIATRIC DENTISTRY, P.A.
3101 JOE RAMSEY BLVD E
SUITE 103A
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-0771



Authorized Official

Authorized Official Name KATHRYN ANN KREIDER DMD
Authorized Official TitlePRESIDENT
Authorized Official Phone(903) 454-0771

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 step by step the 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.
1003022930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 9 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003022930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Greenville Pediatric Dentistry, P.a. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.