SANTO DOMINGO HEALTH CENTER
NPI 1003193251
Clinic/Center - Dental in Santo Domingo, NM

NPI Status: Active since November 15, 2011

Contact Information

85 W HIGHWAY 22
SANTO DOMINGO, NM
ZIP 87052
Phone: (505) 465-3060
Fax: (505) 465-1191

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 32D0907625
  • CLIA Cert. Type: Other - TRIBAL HEALTH CENTER
  • CLIA Exp. Date: 12-16-2026

About SANTO DOMINGO HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Santo Domingo Health Center, a provider established in Santo Domingo, New Mexico operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1003193251 assigned on November 2011. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Santo Domingo Health Center. The authorized official of this NPI record is Vanessa Diana Vigil (Business Office Manager)

NPI
1003193251
Provider Legal Name
KEWA PUEBLO HEALTH CORPORATION
Other Organization Name
SANTO DOMINGO HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
85 W HIGHWAY 22 SANTO DOMINGO, NM 87052
Location Phone
(505) 465-3060
Location Fax
(505) 465-1191
Mailing Address
PO BOX 559 SANTO DOMINGO PUEBLO, NM 87052
Mailing Phone
(505) 465-3060
Mailing Fax
(505) 465-1191
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-15-2011
Last Update Date
11-15-2011
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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

VANESSA DIANA VIGIL

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(505) 465-3060

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
32D0907625
Facility Type
Other - TRIBAL HEALTH CENTER
Certificate Effective Date
December 17, 2024
Certificate Expiration Date
December 16, 2026
Laboratory Director
JULIANNA J. REECE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Santo Domingo Health Center 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 1003193251, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 3 → 6 5 → 10 → 1

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 + 9 + 6 + 2 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003193251.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Clinic/Center (Hearing and Speech)
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Clinical Medical Laboratory
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Clinic/Center (Adolescent and Children Mental Health)
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Optometrist
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Non-emergency Medical Transport (VAN)
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Clinic/Center (Federally Qualified Health Center (FQHC))
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Family Medicine
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Nurse Practitioner (Family)
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Nurse Practitioner (Pediatrics)
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Registered Nurse
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Optometrist
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Dietitian, Registered
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Registered Nurse
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003193251, enumerated as an "organization" on November 15, 2011.

The provider is located at 85 W HIGHWAY 22 SANTO DOMINGO, NM 87052 and the phone number is (505) 465-3060.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.