DISTINCTIVE DENTAL ASSOCIATES
NPI 1114136504
Dentist in Worcester, MA

NPI Status: Active since May 22, 2007

Contact Information

255 PARK AVE
SUITE 904
WORCESTER, MA
ZIP 01609
Phone: (508) 792-9010
Fax: (508) 754-7856

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  • Organization
  • Dentist

About DISTINCTIVE DENTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Distinctive Dental Associates, a provider established in Worcester, Massachusetts operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1114136504 assigned on May 2007. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 18 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 provider's former legal business name is Dr.'s Waxman And Giordano. The authorized official of this NPI record is Dr. Stephen Waxman D.m.d. (Dentist)

NPI
1114136504
Provider Legal Name
DISTINCTIVE DENTAL ASSOCIATES
Other Organization Name
DR.'S WAXMAN AND GIORDANO
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
255 PARK AVE SUITE 904 WORCESTER, MA 01609
Location Phone
(508) 792-9010
Location Fax
(508) 754-7856
Mailing Address
255 PARK AVE SUITE 904 WORCESTER, MA 01609
Mailing Phone
(508) 792-9010
Mailing Fax
(508) 754-7856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
Last Update Date
06-18-2008
Code Navigator

A dentist like Distinctive Dental Associates 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.

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.

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. STEPHEN WAXMAN D.M.D.

Authorized Official Title
DENTIST
Authorized Official Phone
(508) 792-9010

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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 1114136504, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 1 → 2 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 3 + 1 + 2 + 5 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114136504.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
255 PARK AVE, STE 800
WORCESTER, MA 01609
Dentist (Endodontics)
255 PARK AVE, SUITE 1020
WORCESTER, MA 01609
Internal Medicine
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (Periodontics)
255 PARK AVE, SUITE 701
WORCESTER, MA 01609
Nurse Practitioner
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 509
WORCESTER, MA 01609
Podiatrist
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Dentist (Periodontics)
255 PARK AVE, SUITE 1103
WORCESTER, MA 01609
Internal Medicine
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE
WORCESTER, MA 01609
Physical Therapist
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 804
WORCESTER, MA 01609
Dentist (General Practice)
255 PARK AVE, SUITE 904
WORCESTER, MA 01609
Podiatrist (Foot Surgery)
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 803
WORCESTER, MA 01609
Physical Therapy Assistant
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Physical Therapist
255 PARK AVE, SUITE 400
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114136504, enumerated as an "organization" on May 22, 2007.

The provider is located at 255 PARK AVE SUITE 904 WORCESTER, MA 01609 and the phone number is (508) 792-9010.

Dentist with taxonomy code 122300000X.