ELITE DENTAL GROUP CO SPRINGS
NPI 1104530542
Clinic/Center - Dental in Colorado Springs, CO

NPI Status: Active since January 10, 2023

Contact Information

1855 S NEVADA AVE
COLORADO SPRINGS, CO
ZIP 80905
Phone: (719) 471-1717
Fax: (719) 447-0605

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About ELITE DENTAL GROUP CO SPRINGS

This page provides the complete NPI Profile along with additional information for Elite Dental Group Co Springs, a provider established in Colorado Springs, Colorado operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1104530542 assigned on January 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Elite Dental Group Co Springs. The authorized official of this NPI record is Dr. Kyu Jung Dds (President/dentist)

NPI
1104530542
Provider Legal Name
ELITE DENTAL GROUP CO SPRINGS INC
Other Organization Name
ELITE DENTAL GROUP CO SPRINGS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1855 S NEVADA AVE COLORADO SPRINGS, CO 80905
Location Phone
(719) 471-1717
Location Fax
(719) 447-0605
Mailing Address
10700 E BETHANY DR STE 210 AURORA, CO 80014
Mailing Phone
(303) 745-8828
Mailing Fax
(719) 447-0605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2023
Last Update Date
10-04-2023
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. KYU JUNG DDS

Authorized Official Title
PRESIDENT/DENTIST
Authorized Official Phone
(719) 471-1717

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1396261251MEDICAID (05)CO 

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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 1104530542, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 0 → 0 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 0 + 3 + 0 + 5 + 8 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104530542.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104530542, enumerated as an "organization" on January 10, 2023.

The provider is located at 1855 S NEVADA AVE COLORADO SPRINGS, CO 80905 and the phone number is (719) 471-1717.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.