SHOALWATER BAY TRIBAL CLINIC
NPI 1003028952
Clinic/Center - Dental in Tokeland, WA
NPI Status: Active since May 04, 2007
Contact Information
2373 OLD TOKELAND RD
TOKELAND, WA
ZIP 98590
Phone: (360) 267-8103
Fax: (360) 267-1437
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 50D0878259
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 10-20-2027
About SHOALWATER BAY TRIBAL CLINIC
This page provides the complete NPI Profile along with additional information for Shoalwater Bay Tribal Clinic, a provider established in Tokeland, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1003028952 assigned on May 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Shoalwater Bay Tribal Clinic. The authorized official of this NPI record is Ms. Carol Johnson (Tribal Administrator)
- NPI
- 1003028952
- Provider Legal Name
- SHOALWATER BAY INDIAN TRIBE
- Other Organization Name
- SHOALWATER BAY TRIBAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2373 OLD TOKELAND RD TOKELAND, WA 98590
- Location Phone
- (360) 267-8103
- Location Fax
- (360) 267-1437
- Mailing Address
- PO BOX 500 TOKELAND, WA 98590
- Mailing Phone
- (360) 267-0119
- Mailing Fax
- (360) 267-1437
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0878259
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 21, 2025
- Certificate Expiration Date
- October 20, 2027
- Laboratory Director
- DR. JOHNNY S. BELL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Shoalwater Bay Tribal Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003028952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
TOKELAND, WA 98590
TOKELAND, WA 98590
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003028952, enumerated as an "organization" on May 04, 2007.
The provider is located at 2373 OLD TOKELAND RD TOKELAND, WA 98590 and the phone number is (360) 267-8103.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
