LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC
NPI 1023134988
Clinic/Center - Dental in Port Angeles, WA

NPI Status: Active since March 22, 2007

Contact Information

243511 W HIGHWAY 101
PORT ANGELES, WA
ZIP 98363
Phone: (360) 452-6252
Fax: (360) 452-6274

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 50D0635242
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 04-04-2028

About LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Lower Elwha Klallam Tribe Dental Clinic, a provider established in Port Angeles, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1023134988 assigned on March 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Frances G Charles (Chairwoman)

NPI
1023134988
Provider Name
LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC
Entity Type
Organization
Location Address
243511 W HIGHWAY 101 PORT ANGELES, WA 98363
Location Phone
(360) 452-6252
Location Fax
(360) 452-6274
Mailing Address
243511 W HIGHWAY 101 PORT ANGELES, WA 98363
Mailing Phone
(360) 452-6252
Mailing Fax
(360) 452-6274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
03-17-2022
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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

FRANCES G CHARLES

Authorized Official Title
CHAIRWOMAN
Authorized Official Phone
(360) 452-8471

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
50D0635242
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 31, 2013
Certificate Expiration Date
April 04, 2028
Laboratory Director
DR. BRENDA POWELL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Lower Elwha Klallam Tribe Dental Clinic 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 1023134988, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 2 → 4 1 → 2 4 → 8 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 + 4 + 3 + 2 + 3 + 8 + 9 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023134988.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Clinical Nurse Specialist
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Family Medicine
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Clinic/Center (Federally Qualified Health Center (FQHC))
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Dentist (General Practice)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Dentist
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Family Medicine
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Clinic/Center (Health Service)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Dentist
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Nurse Practitioner (Family)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Physician Assistant
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Naturopath
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Dietitian, Registered
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Preventive Medicine (Public Health & General Preventive Medicine)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Dentist (General Practice)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363
Clinic/Center (Primary Care)
243511 W HIGHWAY 101
PORT ANGELES, WA 98363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023134988, enumerated as an "organization" on March 22, 2007.

The provider is located at 243511 W HIGHWAY 101 PORT ANGELES, WA 98363 and the phone number is (360) 452-6252.

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