RIDGE CREST PERIODONTICS
NPI 1104085935
Clinic/Center - Dental in Idaho Falls, ID
NPI Status: Active since June 06, 2008
Contact Information
2375 E SUNNYSIDE RD
SUITE I
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 522-6683
Fax: (208) 552-3085
- Organization
- Clinic/Center
- Dental
About RIDGE CREST PERIODONTICS
This page provides the complete NPI Profile along with additional information for Ridge Crest Periodontics, a provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1104085935 assigned on June 2008. The practitioner's primary taxonomy code is 261QD0000X with license number D-4093-PE (ID). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Ridge Crest Periodontics. The authorized official of this NPI record is Dr. Ethan D Moulton Dds Ms (Owner)
- NPI
- 1104085935
- Provider Legal Name
- MOULTON PERIODONTICS, PLLC
- Other Organization Name
- RIDGE CREST PERIODONTICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2375 E SUNNYSIDE RD SUITE I IDAHO FALLS, ID 83404
- Location Phone
- (208) 522-6683
- Location Fax
- (208) 552-3085
- Mailing Address
- 2375 E SUNNYSIDE RD SUITE I IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 522-6683
- Mailing Fax
- (208) 552-3085
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2008
- Last Update Date
- 06-06-2008
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- D-4093-PE
- License State
- ID
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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 1104085935, 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.
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104085935, enumerated as an "organization" on June 06, 2008.
The provider is located at 2375 E SUNNYSIDE RD SUITE I IDAHO FALLS, ID 83404 and the phone number is (208) 522-6683.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
