WALNUT RIDGE DENTAL CARE
NPI 1003302324
Dentist - General Practice in Walnut Ridge, AR

NPI Status: Active since July 10, 2018

Contact Information

1045 W MAIN ST STE A
WALNUT RIDGE, AR
ZIP 72476
Phone: (870) 886-3338
Fax: (870) 886-6388

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 04D2127194
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-14-2026

About WALNUT RIDGE DENTAL CARE

This page provides the complete NPI Profile along with additional information for Walnut Ridge Dental Care, a provider established in Walnut Ridge, Arkansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1003302324 assigned on July 2018. The practitioner's primary taxonomy code is 1223G0001X with license number 4255 (AR). The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as Walnut Ridge Dental Care. The authorized official of this NPI record is Dr. Samir P Patel Dmd (Owner)

NPI
1003302324
Provider Legal Name
NAVEERA PLLC
Other Organization Name
WALNUT RIDGE DENTAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1045 W MAIN ST STE A WALNUT RIDGE, AR 72476
Location Phone
(870) 886-3338
Location Fax
(870) 886-6388
Mailing Address
PO BOX 687 WALNUT RIDGE, AR 72476
Mailing Phone
(870) 886-3338
Mailing Fax
(870) 886-6388
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2018
Last Update Date
07-10-2018
Code Navigator

A dentist like Walnut Ridge Dental Care 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.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4255
License State
AR
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. SAMIR P PATEL DMD

Authorized Official Title
OWNER
Authorized Official Phone
(870) 886-3338

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
04D2127194
Facility Type
Practitioner Other
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
DR. GEORGE R. AINSLIE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Walnut Ridge Dental Care 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 1003302324, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 6 + 0 + 4 + 3 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003302324.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003302324, enumerated as an "organization" on July 10, 2018.

The provider is located at 1045 W MAIN ST STE A WALNUT RIDGE, AR 72476 and the phone number is (870) 886-3338.

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