ELK GROVE DENTAL GROUP
NPI 1114109386
Dentist - General Practice in Elk Grove, CA
NPI Status: Active since November 29, 2007
Contact Information
9640 BRUCEVILLE RD
SUITE 101
ELK GROVE, CA
ZIP 95757
Phone: (916) 686-9030
Fax: (916) 686-9033
- Organization
- Dentist
- General Practice
- CLIA Number: 05D2342977
- CLIA Cert. Type: Other - DENTAL PRACTICE
- CLIA Exp. Date: 04-28-2028
About ELK GROVE DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Elk Grove Dental Group, a provider established in Elk Grove, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1114109386 assigned on November 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Elk Grove Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Elk Grove Dental Group. The authorized official of this NPI record is Dr. Inaksh Johal Dds (Contracts Administrator)
- NPI
- 1114109386
- Provider Legal Name
- JOHAL AND GHAZAL DENTAL CORPORATION
- Other Organization Name
- ELK GROVE DENTAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9640 BRUCEVILLE RD SUITE 101 ELK GROVE, CA 95757
- Location Phone
- (916) 686-9030
- Location Fax
- (916) 686-9033
- Mailing Address
- 2860 MICHELLE 2ND FLOOR IRVINE, CA 92606
- Mailing Phone
- (714) 508-3600
- Mailing Fax
- (916) 686-9033
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2007
- Last Update Date
- 11-29-2007
- Code Navigator
A dentist like Elk Grove Dental Group 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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.
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
- 05D2342977
- Facility Type
- Other - DENTAL PRACTICE
- Certificate Effective Date
- April 29, 2026
- Certificate Expiration Date
- April 28, 2028
- Laboratory Director
- INAKSH JOHAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Elk Grove Dental Group 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 1114109386, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114109386, enumerated as an "organization" on November 29, 2007.
The provider is located at 9640 BRUCEVILLE RD SUITE 101 ELK GROVE, CA 95757 and the phone number is (916) 686-9030.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
