BEAVERTON FAMILY DENTISTRY
NPI 1003138116
Dentist - General Practice in Beaverton, OR

NPI Status: Active since February 17, 2010

Contact Information

10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR
ZIP 97005
Phone: (503) 641-1100

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 38D0064461
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-26-2027

About BEAVERTON FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Beaverton Family Dentistry, a provider established in Beaverton, Oregon operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1003138116 assigned on February 2010. The practitioner's primary taxonomy code is 1223G0001X with license number D6683 (OR). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tony H Moghimian Dds (President)

NPI
1003138116
Provider Name
BEAVERTON FAMILY DENTISTRY
Entity Type
Organization
Location Address
10950 SW BEAVERTON HILLSDALE HWY BEAVERTON, OR 97005
Location Phone
(503) 641-1100
Mailing Address
10950 SW BEAVERTON HILLSDALE HWY BEAVERTON, OR 97005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2010
Last Update Date
02-17-2010
Code Navigator

A dentist like Beaverton Family Dentistry 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.

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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.
D6683
License State
OR
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. TONY H MOGHIMIAN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 641-1100

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
38D0064461
Facility Type
Physician Office
Certificate Effective Date
February 27, 2025
Certificate Expiration Date
February 26, 2027
Laboratory Director
DR. JAMAR UZZELL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Beaverton Family Dentistry after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1003138116, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 1 → 2 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 3 + 1 + 6 + 1 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003138116.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003138116, enumerated as an "organization" on February 17, 2010.

The provider is located at 10950 SW BEAVERTON HILLSDALE HWY BEAVERTON, OR 97005 and the phone number is (503) 641-1100.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.