MOUNTAIN SMILES, PLLC
NPI 1083410237
Dentist in Lacey, WA
NPI Status: Active since February 19, 2025
Contact Information
8765 TALLON LN NE # 1
LACEY, WA
ZIP 98516
Phone: (360) 577-0566
- Organization
- Dentist
- Accepts Insurance
About MOUNTAIN SMILES, PLLC
This page provides the complete NPI Profile along with additional information for Mountain Smiles, Pllc, a provider established in Lacey, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1083410237 assigned on February 2025. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated one year ago. Mountain Smiles, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Angel Gimenez (Credentialing Manager)
- NPI
- 1083410237
- Provider Name
- MOUNTAIN SMILES, PLLC
- Entity Type
- Organization
- Location Address
- 8765 TALLON LN NE # 1 LACEY, WA 98516
- Location Phone
- (360) 577-0566
- Mailing Address
- 8765 TALLON LN NE # 1 LACEY, WA 98516
- Mailing Phone
- (360) 577-0566
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2025
- Last Update Date
- 02-27-2025
- Code Navigator
A dentist like Mountain Smiles, Pllc 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
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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 | 1223D0004X | Dental Providers | Dentist | |
| 2 | 1223E0200X | Dental Providers | Dentist | |
| 3 | 1223G0001X | Dental Providers | Dentist | |
| 4 | 1223P0300X | Dental Providers | Dentist | |
| 5 | 1223P0700X | Dental Providers | Dentist | |
| 6 | 1223X0400X | Dental Providers | Dentist | |
| 7 | 122400000X | Dental Providers | Denturist | |
| 8 | 124Q00000X | Dental Providers | Dental Hygienist | |
| 9 | 126800000X | Dental Providers | Dental Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1083410237, 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.
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 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083410237, enumerated as an "organization" on February 19, 2025.
The provider is located at 8765 TALLON LN NE # 1 LACEY, WA 98516 and the phone number is (360) 577-0566.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
