SOUTH UNIVERSITY DENTAL ASSOCIATES, PC
NPI 1043514367
Clinic/Center - Dental in Fargo, ND

NPI Status: Active since December 29, 2010

Contact Information

3115 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 232-8884
Fax: (701) 232-6064

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  • Organization
  • Clinic/Center
  • Dental

About SOUTH UNIVERSITY DENTAL ASSOCIATES, PC

This page provides the complete NPI Profile along with additional information for South University Dental Associates, Pc, a provider established in Fargo, North Dakota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1043514367 assigned on December 2010. The practitioner's primary taxonomy code is 261QD0000X with license number 1493 (ND). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Thomas Glen Fellman Dds (President)

NPI
1043514367
Provider Name
SOUTH UNIVERSITY DENTAL ASSOCIATES, PC
Entity Type
Organization
Location Address
3115 UNIVERSITY DR S FARGO, ND 58103
Location Phone
(701) 232-8884
Location Fax
(701) 232-6064
Mailing Address
3115 UNIVERSITY DR S FARGO, ND 58103
Mailing Phone
(701) 232-8884
Mailing Fax
(701) 232-6064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2010
Last Update Date
12-29-2010
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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
License No.
1493
License State
ND

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

1843 (ND)
2261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

2068 (ND)

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. THOMAS GLEN FELLMAN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(701) 232-8884

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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 1043514367, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 0 + 1 + 8 + 3 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1043514367.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
3115 UNIVERSITY DR S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043514367, enumerated as an "organization" on December 29, 2010.

The provider is located at 3115 UNIVERSITY DR S FARGO, ND 58103 and the phone number is (701) 232-8884.

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