CHANHASSEN FAMILY DENTISTRY PA
NPI 1053831941
Dentist - General Practice in Chanhassen, MN
NPI Status: Active since June 22, 2017
Contact Information
8116 MALLORY CT
CHANHASSEN, MN
ZIP 55317
Phone: (953) 443-3368
Fax: (952) 443-3330
- Organization
- Dentist
- General Practice
- CLIA Number: 24D2239211
- CLIA Cert. Type: Other - EQUITY THEATRE COMPANY
- CLIA Exp. Date: 10-10-2027
About CHANHASSEN FAMILY DENTISTRY PA
This page provides the complete NPI Profile along with additional information for Chanhassen Family Dentistry Pa, a provider established in Chanhassen, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053831941 assigned on June 2017. The practitioner's primary taxonomy code is 1223G0001X. 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 Michael Leonard Dds (Owner)
- NPI
- 1053831941
- Provider Name
- CHANHASSEN FAMILY DENTISTRY PA
- Entity Type
- Organization
- Location Address
- 8116 MALLORY CT CHANHASSEN, MN 55317
- Location Phone
- (953) 443-3368
- Location Fax
- (952) 443-3330
- Mailing Address
- 8116 MALLORY CT CHANHASSEN, MN 55317
- Mailing Phone
- (953) 443-3368
- Mailing Fax
- (952) 443-3330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2017
- Last Update Date
- 07-21-2022
- Code Navigator
A dentist like Chanhassen Family Dentistry Pa 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.
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) |
|---|---|---|---|---|
| 1 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies |
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
- 24D2239211
- Facility Type
- Other - EQUITY THEATRE COMPANY
- Certificate Effective Date
- October 11, 2025
- Certificate Expiration Date
- October 10, 2027
- Laboratory Director
- QUINN M. BERGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chanhassen Family Dentistry Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1053831941, 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.
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 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053831941, enumerated as an "organization" on June 22, 2017.
The provider is located at 8116 MALLORY CT CHANHASSEN, MN 55317 and the phone number is (953) 443-3368.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
