GRACIE ISABELLA COMEAU
NPI 1114627205
Dental Therapist in Andover, MN
NPI Status: Active since March 07, 2023
Contact Information
2258 BUNKER LAKE BLVD NW
ANDOVER, MN
ZIP 55304
Phone: (793) 390-8995
- Individual
- Female
- Dental Therapist
About GRACIE COMEAU
This page provides the complete NPI Profile along with additional information for Gracie Comeau, a provider established in Andover, Minnesota with a medical specialization in Dental Therapist. The healthcare provider is registered in the NPI registry with number 1114627205 assigned on March 2023. The practitioner's primary taxonomy code is 125J00000X with license number DT164 (MN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1114627205
- Provider Name
- GRACIE ISABELLA COMEAU
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2258 BUNKER LAKE BLVD NW ANDOVER, MN 55304
- Location Phone
- (793) 390-8995
- Mailing Address
- 4518 CEDAR LAKE RD S APT 6 MINNEAPOLIS, MN 55416
- Mailing Phone
- (715) 751-0299
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2023
- Last Update Date
- 06-21-2023
- Code Navigator
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
Dental Therapist
- Taxonomy Code
- 125J00000X
- Type
- Dental Providers
- License No.
- DT164
- License State
- MN
- Taxonomy Description
- A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 124Q00000X | Dental Providers | Dental Hygienist | H11422 (MN) |
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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 1114627205, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114627205, enumerated as an "individual" on March 07, 2023.
The provider is located at 2258 BUNKER LAKE BLVD NW ANDOVER, MN 55304 and the phone number is (793) 390-8995.
Dental Therapist with taxonomy code 125J00000X.