STACY EDEN DDS
NPI 1114248085
Dentist in Tigard, OR

NPI Status: Active since June 15, 2010

Contact Information

11820 SW KING JAMES PL
J10
TIGARD, OR
ZIP 97224
Phone: (503) 616-5000

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  • Individual
  • Female
  • Dentist

About STACY EDEN

This page provides the complete NPI Profile along with additional information for Stacy Eden, a provider established in Tigard, Oregon with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1114248085 assigned on June 2010. The practitioner's primary taxonomy code is 122300000X with license number D10481 (OR). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1114248085
Provider Name
STACY EDEN DDS
Gender
Female
Entity Type
Individual
Location Address
11820 SW KING JAMES PL J10 TIGARD, OR 97224
Location Phone
(503) 616-5000
Mailing Address
11820 SW KING JAMES PL J10 TIGARD, OR 97224
Mailing Phone
(503) 616-5000
Is Sole Proprietor?
No
Enumeration Date
06-15-2010
Last Update Date
06-11-2020
Code Navigator

A dentist like Stacy Eden 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
License No.
D10481
License State
OR
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114248085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21244416016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 4 + 1 + 6 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1114248085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. DAT DUC TRAN MD

Family Medicine

11820 SW KING JAMES PL
SUITE 30
KING CITY, OR
ZIP 97224

(971) 226-2613

GREGORY A WILLIAMS D.M.D., PC

Dentist

(General Practice)

11820 SW KING JAMES PL
SUITE #40
TIGARD, OR
ZIP 97224

(503) 620-2020

DR. HEATHER DIANE ROGERS D.D.S.

Dentist

(General Practice)

11820 SW KING JAMES PL
SUITE 10J
TIGARD, OR
ZIP 97224

(503) 616-5000

CONCIERGEHEALTH, LLC

Clinic/Center

(Urgent Care)

11820 SW KING JAMES PL
SUITE 30
KING CITY, OR
ZIP 97224

(971) 226-2613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114248085, enumerated as an "individual" on June 15, 2010.

The provider is located at 11820 SW KING JAMES PL J10 TIGARD, OR 97224 and the phone number is (503) 616-5000.

Dentist with taxonomy code 122300000X.