MONTCLAIR PLAZA DENTAL GROUP
NPI 1134332703
Dentist - General Practice in Montclair, CA

NPI Status: Active since May 08, 2007

Contact Information

5182 N MONTCLAIR PLAZA LN
MONTCLAIR, CA
ZIP 91763
Phone: (909) 626-3566
Fax: (909) 626-6112

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D0563949
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-13-2026

About MONTCLAIR PLAZA DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Montclair Plaza Dental Group, a provider established in Montclair, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1134332703 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Montclair Plaza Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Vijay B Patel (Owner/dds)

NPI
1134332703
Provider Name
MONTCLAIR PLAZA DENTAL GROUP
Entity Type
Organization
Location Address
5182 N MONTCLAIR PLAZA LN MONTCLAIR, CA 91763
Location Phone
(909) 626-3566
Location Fax
(909) 626-6112
Mailing Address
8660 CENTRAL AVE MONTCLAIR, CA 91763
Mailing Phone
(909) 920-0696
Mailing Fax
(909) 626-6112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2007
Last Update Date
05-16-2016
Code Navigator

A dentist like Montclair Plaza 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.

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)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

 
21223P0300XDental Providers

Dentist
Periodontics

 
31223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 
41223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

 

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.

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

VIJAY B PATEL

Authorized Official Title
OWNER/DDS
Authorized Official Phone
(909) 920-0696

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
05D0563949
Facility Type
Hospital
Certificate Effective Date
January 14, 2024
Certificate Expiration Date
January 13, 2026
Laboratory Director
REDA TADROS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Montclair Plaza Dental Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1134332703, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 6 + 3 + 4 + 7 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1134332703.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134332703, enumerated as an "organization" on May 08, 2007.

The provider is located at 5182 N MONTCLAIR PLAZA LN MONTCLAIR, CA 91763 and the phone number is (909) 626-3566.

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