CONWAY REGIONAL INTERFAITH DENTAL CLINIC
NPI 1043864093
Dentist - General Practice in Conway, AR
NPI Status: Active since July 29, 2019
Contact Information
830 N CREEK DR
CONWAY, AR
ZIP 72032
Phone: (501) 932-0559
Fax: (501) 205-1983
- Organization
- Dentist
- General Practice
- CLIA Number: 04D0466269
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2027
About CONWAY REGIONAL INTERFAITH DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Conway Regional Interfaith Dental Clinic, a provider established in Conway, Arkansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1043864093 assigned on July 2019. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Conway Regional Interfaith Dental Clinic. The authorized official of this NPI record is William Pack (Cfo)
- NPI
- 1043864093
- Provider Legal Name
- CONWAY REGIONAL MEDICAL CENTER, INC
- Other Organization Name
- CONWAY REGIONAL INTERFAITH DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 830 N CREEK DR CONWAY, AR 72032
- Location Phone
- (501) 932-0559
- Location Fax
- (501) 205-1983
- Mailing Address
- PO BOX 9662 CONWAY, AR 72033
- Mailing Phone
- (501) 852-1363
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2019
- Last Update Date
- 11-09-2023
- Code Navigator
A dentist like Conway Regional Interfaith Dental Clinic 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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.
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
- 04D0466269
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2025
- Certificate Expiration Date
- November 30, 2027
- Laboratory Director
- DR. DAVID N. POPE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Conway Regional Interfaith 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 1043864093, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CONWAY, AR 72032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043864093, enumerated as an "organization" on July 29, 2019.
The provider is located at 830 N CREEK DR CONWAY, AR 72032 and the phone number is (501) 932-0559.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
