CENTRACARE - DENTAL CLINIC
NPI 1003329574
Clinic/Center - Dental in Willmar, MN
NPI Status: Active since November 07, 2017
Contact Information
301 BECKER AVE SW
WILLMAR, MN
ZIP 56201
Phone: (320) 214-2620
Fax: (320) 235-4971
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 24D0405426
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-14-2027
About CENTRACARE - DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Centracare - Dental Clinic, a provider established in Willmar, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1003329574 assigned on November 2017. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Centracare - Dental Clinic. The authorized official of this NPI record is Michael Blair (Cfo)
- NPI
- 1003329574
- Provider Legal Name
- CARRIS HEALTH, LLC
- Other Organization Name
- CENTRACARE - DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 301 BECKER AVE SW WILLMAR, MN 56201
- Location Phone
- (320) 214-2620
- Location Fax
- (320) 235-4971
- Mailing Address
- 1200 6TH AVE N SAINT CLOUD, MN 56303
- Mailing Phone
- (320) 251-2700
- Mailing Fax
- (320) 235-4971
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2017
- Last Update Date
- 03-06-2024
- 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
- 24D0405426
- Facility Type
- Hospital
- Certificate Effective Date
- March 15, 2025
- Certificate Expiration Date
- March 14, 2027
- Laboratory Director
- DR. STEVEN M. VANDERWERF
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Centracare - Dental Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1003329574, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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.
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
WILLMAR, MN 56201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003329574, enumerated as an "organization" on November 07, 2017.
The provider is located at 301 BECKER AVE SW WILLMAR, MN 56201 and the phone number is (320) 214-2620.
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.
