CONSOLIDATED TRIBAL HEALTH PROJECT INC
NPI 1124046842
Dentist - General Practice in Redwood Valley, CA

NPI Status: Active since July 18, 2006

Contact Information

6991 N STATE ST
REDWOOD VALLEY, CA
ZIP 95470
Phone: (707) 485-5115
Fax: (707) 485-5127

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D0703489
  • CLIA Cert. Type: Other - TRIBAL
  • CLIA Exp. Date: 08-31-2026

About CONSOLIDATED TRIBAL HEALTH PROJECT INC

This page provides the complete NPI Profile along with additional information for Consolidated Tribal Health Project Inc, a provider established in Redwood Valley, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1124046842 assigned on July 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 19569 (CA). 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 Mary Ann Nmn Gonzalez (Clinic Director)

NPI
1124046842
Provider Name
CONSOLIDATED TRIBAL HEALTH PROJECT INC
Entity Type
Organization
Location Address
6991 N STATE ST REDWOOD VALLEY, CA 95470
Location Phone
(707) 485-5115
Location Fax
(707) 485-5127
Mailing Address
PO BOX 387 CALPELLA, CA 95418
Mailing Phone
(707) 485-5115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Consolidated Tribal Health Project Inc 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
License No.
19569
License State
CA
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.

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)
11223G0001XDental Providers

Dentist
General Practice

5000459 (WI)

Group Taxonomy 193400000X MULTIPLE 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

MARY ANN NMN GONZALEZ

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(707) 485-5115

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
05D0703489
Facility Type
Other - TRIBAL
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MOHAMMAD A. SHAHIN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Consolidated Tribal Health Project Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1124046842, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 0 + 4 + 1 + 2 + 8 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124046842.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Social Worker (Clinical)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Social Worker (Clinical)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Physician Assistant
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Dietitian, Registered
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Massage Therapist
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Dietitian, Registered
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Internal Medicine
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Pediatrics
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Clinic/Center (Community Health)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Acupuncturist
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Clinic/Center (Health Service)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Social Worker (Clinical)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Family Medicine
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Social Worker (Clinical)
6991 N STATE ST
REDWOOD VALLEY, CA 95470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124046842, enumerated as an "organization" on July 18, 2006.

The provider is located at 6991 N STATE ST REDWOOD VALLEY, CA 95470 and the phone number is (707) 485-5115.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.