PINE GLEN DENTAL GROUP, LTD
NPI 1053677765
Dentist - General Practice in Peoria, IL

NPI Status: Active since April 06, 2012

Contact Information

838 W GLEN AVE
PEORIA, IL
ZIP 61614
Phone: (309) 691-1990
Fax: (309) 691-9112

Get Directions Write a Review

  • Organization
  • Dentist
  • General Practice

About PINE GLEN DENTAL GROUP, LTD

This page provides the complete NPI Profile along with additional information for Pine Glen Dental Group, Ltd, a provider established in Peoria, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053677765 assigned on April 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 060010781 (IL). The provider is registered as an organization and their NPI record was last updated 14 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. Lori A Rice Dds (President)

NPI
1053677765
Provider Name
PINE GLEN DENTAL GROUP, LTD
Entity Type
Organization
Location Address
838 W GLEN AVE PEORIA, IL 61614
Location Phone
(309) 691-1990
Location Fax
(309) 691-9112
Mailing Address
838 W GLEN AVE PEORIA, IL 61614
Mailing Phone
(309) 691-1990
Mailing Fax
(309) 691-9112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2012
Last Update Date
04-06-2012
Code Navigator

A dentist like Pine Glen Dental Group, 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
060010781
License State
IL
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.

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. LORI A RICE DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(309) 691-1990

Reviews for PINE GLEN DENTAL GROUP, LTD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1053677765, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 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 + 1 + 0 + 3 + 1 + 2 + 7 + 1 + 4 + 7 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053677765.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
838 W GLEN AVE
PEORIA, IL 61614
Dentist (General Practice)
838 W GLEN AVE
PEORIA, IL 61614
Dentist
838 W GLEN AVE
PEORIA, IL 61614
Dentist (General Practice)
838 W GLEN AVE
PEORIA, IL 61614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053677765, enumerated as an "organization" on April 06, 2012.

The provider is located at 838 W GLEN AVE PEORIA, IL 61614 and the phone number is (309) 691-1990.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.