VCU
NPI 1073065173
Dentist - Periodontics in Richmond, VA
NPI Status: Active since October 25, 2016
Contact Information
520 N 12TH ST
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9190
- Organization
- Dentist
- Periodontics
- CLIA Number: 49D0661169
- CLIA Cert. Type: Other - ORAL PATH SERVICES
- CLIA Exp. Date: 04-22-2027
About VCU
This page provides the complete NPI Profile along with additional information for Vcu, a provider established in Richmond, Virginia operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1073065173 assigned on October 2016. The practitioner's primary taxonomy code is 1223P0300X with license number 0442000290 (VA). The provider is registered as an organization and their NPI record was last updated 10 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 Thomas Waldrop (Program Director)
- NPI
- 1073065173
- Provider Name
- VCU
- Entity Type
- Organization
- Location Address
- 520 N 12TH ST RICHMOND, VA 23298
- Location Phone
- (804) 828-9190
- Mailing Address
- 520 N 12TH ST RICHMOND, VA 23298
- Mailing Phone
- (804) 828-9190
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2016
- Last Update Date
- 10-25-2016
- Code Navigator
A dentist like Vcu 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 Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 0442000290
- License State
- VA
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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
- 49D0661169
- Facility Type
- Other - ORAL PATH SERVICES
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- SARAH H. GLASS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Vcu after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1073065173, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073065173, enumerated as an "organization" on October 25, 2016.
The provider is located at 520 N 12TH ST RICHMOND, VA 23298 and the phone number is (804) 828-9190.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
