CRYSTAL LAKE PEDIATRIC DENTAL LTD.
NPI 1043311681
Dentist - Pediatric Dentistry in Crystal Lake, IL

NPI Status: Active since September 26, 2006

Contact Information

820 E TERRA COTTA AVE
111
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 356-7960
Fax: (815) 356-8051

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  • Organization
  • Dentist
  • Pediatric Dentistry

About CRYSTAL LAKE PEDIATRIC DENTAL LTD.

This page provides the complete NPI Profile along with additional information for Crystal Lake Pediatric Dental Ltd., a provider established in Crystal Lake, Illinois operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1043311681 assigned on September 2006. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Dr. Anthony Louis Minutillo Dds,msd (President)

NPI
1043311681
Provider Name
CRYSTAL LAKE PEDIATRIC DENTAL LTD.
Entity Type
Organization
Location Address
820 E TERRA COTTA AVE 111 CRYSTAL LAKE, IL 60014
Location Phone
(815) 356-7960
Location Fax
(815) 356-8051
Mailing Address
820 E TERRA COTTA AVE 111 CRYSTAL LAKE, IL 60014
Mailing Phone
(815) 356-7960
Mailing Fax
(815) 356-8051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Crystal Lake Pediatric Dental Ltd. 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License State
IL
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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. ANTHONY LOUIS MINUTILLO DDS,MSD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(815) 356-7960

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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 1043311681, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 4 → 8 3 → 6 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 + 8 + 3 + 6 + 1 + 2 + 6 + 1 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043311681.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
820 E TERRA COTTA AVE, STE 102
CRYSTAL LAKE, IL 60014
Radiology (Diagnostic Radiology)
820 E TERRA COTTA AVE, #129 136 OPEN ADVANCED MRI OF CRYSTAL LAKE LLC
CRYSTAL LAKE, IL 60014
Dentist (General Practice)
820 E TERRA COTTA AVE, SUITE 203
CRYSTAL LAKE, IL 60014
Chiropractor
820 E TERRA COTTA AVE, STE 141
CRYSTAL LAKE, IL 60014
Chiropractor
820 E TERRA COTTA AVE, STE 141
CRYSTAL LAKE, IL 60014
Pediatrics
820 E TERRA COTTA AVE, SUITE 226
CRYSTAL LAKE, IL 60014
Physical Therapist
820 E TERRA COTTA AVE, SUITE 102
CRYSTAL LAKE, IL 60014
Dentist (Pediatric Dentistry)
820 E TERRA COTTA AVE, SUITE 111
CRYSTAL LAKE, IL 60014
Dentist (General Practice)
820 E TERRA COTTA AVE, SUITE 218/220
CRYSTAL LAKE, IL 60014
Optometrist (Vision Therapy)
820 E TERRA COTTA AVE, SUITE 256
CRYSTAL LAKE, IL 60014
Counselor (Professional)
820 E TERRA COTTA AVE, SUITE 215
CRYSTAL LAKE, IL 60014
Acupuncturist
820 E TERRA COTTA AVE, SUITE 101
CRYSTAL LAKE, IL 60014
Home Health
820 E TERRA COTTA AVE, SUITE 112
CRYSTAL LAKE, IL 60014
Acupuncturist
820 E TERRA COTTA AVE, SUITE 101
CRYSTAL LAKE, IL 60014
Massage Therapist
820 E TERRA COTTA AVE, SUITE 101
CRYSTAL LAKE, IL 60014
Dermatology
820 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
Optometrist
820 E TERRA COTTA AVE, SUITE 256
CRYSTAL LAKE, IL 60014
Radiology (Diagnostic Radiology)
820 E TERRA COTTA AVE, SUITE 136
CRYSTAL LAKE, IL 60014
Chiropractor
820 E TERRA COTTA AVE, STE 141
CRYSTAL LAKE, IL 60014
Social Worker
820 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043311681, enumerated as an "organization" on September 26, 2006.

The provider is located at 820 E TERRA COTTA AVE 111 CRYSTAL LAKE, IL 60014 and the phone number is (815) 356-7960.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.