GOLDEN TRIANGLE PERIODONTAL CENTER
NPI 1114055167
Dentist - Periodontics in Columbus, MS
NPI Status: Active since March 01, 2007
Contact Information
2900 BLUECUTT RD
SUITE 3
COLUMBUS, MS
ZIP 39705
Phone: (662) 329-2696
- Organization
- Dentist
- Periodontics
- CLIA Number: 25D2058440
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 05-06-2027
About GOLDEN TRIANGLE PERIODONTAL CENTER
This page provides the complete NPI Profile along with additional information for Golden Triangle Periodontal Center, a provider established in Columbus, Mississippi operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1114055167 assigned on March 2007. The practitioner's primary taxonomy code is 1223P0300X with license number PER154-88 (MS). The provider is registered as an organization and their NPI record was last updated 6 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 Dr. John W Starr Jr. Dmd (Periodontist)
- NPI
- 1114055167
- Provider Name
- GOLDEN TRIANGLE PERIODONTAL CENTER
- Entity Type
- Organization
- Location Address
- 2900 BLUECUTT RD SUITE 3 COLUMBUS, MS 39705
- Location Phone
- (662) 329-2696
- Mailing Address
- 2900 BLUECUTT RD SUITE 3 COLUMBUS, MS 39705
- Mailing Phone
- (662) 329-2696
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Golden Triangle Periodontal Center 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.
- PER154-88
- License State
- MS
- 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
- 25D2058440
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- DR. CHRIS LEBRUN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Golden Triangle Periodontal Center 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 1114055167, 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 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 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
COLUMBUS, MS 39705
COLUMBUS, MS 39705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114055167, enumerated as an "organization" on March 01, 2007.
The provider is located at 2900 BLUECUTT RD SUITE 3 COLUMBUS, MS 39705 and the phone number is (662) 329-2696.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
