JAMESTOWN DENTAL
NPI 1013681584
Clinic/Center - Dental in Jamestown, ND

NPI Status: Active since August 06, 2021

Contact Information

102 2ND AVE SW
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-6005
Fax: (701) 251-9188

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 35D1083840
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-22-2026

About JAMESTOWN DENTAL

This page provides the complete NPI Profile along with additional information for Jamestown Dental, a provider established in Jamestown, North Dakota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1013681584 assigned on August 2021. 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 Jamestown Dental. The authorized official of this NPI record is Dr. Breck Andrew Leach Dmd (Owner)

NPI
1013681584
Provider Legal Name
BRECK LEACH DMD, PLLC
Other Organization Name
JAMESTOWN DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
102 2ND AVE SW JAMESTOWN, ND 58401
Location Phone
(701) 252-6005
Location Fax
(701) 251-9188
Mailing Address
1209 5TH AVE SE STE 6 JAMESTOWN, ND 58401
Mailing Phone
(701) 252-6005
Mailing Fax
(701) 251-9188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2021
Last Update Date
06-24-2024
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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

DR. BRECK ANDREW LEACH DMD

Authorized Official Title
OWNER
Authorized Official Phone
(701) 252-6005

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
35D1083840
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 12, 2008
Certificate Expiration Date
May 22, 2026
Laboratory Director
NOELLE BLUE ARM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Jamestown Dental 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 1013681584, 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 1 → 2 6 → 12 → 3 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 1 + 2 + 8 + 2 + 5 + 1 + 6 + 24 = 56

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.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013681584.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Chiropractor
102 2ND AVE SW
JAMESTOWN, ND 58401
Chiropractor
102 2ND AVE SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
102 2ND AVE SW
JAMESTOWN, ND 58401
Early Intervention Provider Agency
102 2ND AVE SW
JAMESTOWN, ND 58401
Chiropractor
102 2ND AVE SW
JAMESTOWN, ND 58401
Chiropractor
102 2ND AVE SW
JAMESTOWN, ND 58401
Occupational Therapist
102 2ND AVE SW
JAMESTOWN, ND 58401
Physical Therapist
102 2ND AVE SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
102 2ND AVE SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
102 2ND AVE SW
JAMESTOWN, ND 58401
Social Worker
102 2ND AVE SW
JAMESTOWN, ND 58401
Counselor (Mental Health)
102 2ND AVE SW
JAMESTOWN, ND 58401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013681584, enumerated as an "organization" on August 06, 2021.

The provider is located at 102 2ND AVE SW JAMESTOWN, ND 58401 and the phone number is (701) 252-6005.

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