CLAREMONT SERENITY DENTISTRY
NPI 1134462823
Dentist - General Practice in Claremont, CA

NPI Status: Active since April 01, 2013

Contact Information

410 W BASELINE RD
CLAREMONT, CA
ZIP 91711
Phone: (909) 398-4800
Fax: (909) 398-4900

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D0970406
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-13-2026

About CLAREMONT SERENITY DENTISTRY

This page provides the complete NPI Profile along with additional information for Claremont Serenity Dentistry, a provider established in Claremont, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1134462823 assigned on April 2013. The practitioner's primary taxonomy code is 1223G0001X with license number 56002 (CA). The provider is registered as an organization and their NPI record was last updated 11 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 Adrian Pelaez Dds Dds (Dentist)

NPI
1134462823
Provider Name
CLAREMONT SERENITY DENTISTRY
Entity Type
Organization
Location Address
410 W BASELINE RD CLAREMONT, CA 91711
Location Phone
(909) 398-4800
Location Fax
(909) 398-4900
Mailing Address
410 W BASELINE RD CLAREMONT, CA 91711
Mailing Phone
(909) 398-4800
Mailing Fax
(909) 398-4900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2013
Last Update Date
02-23-2015
Code Navigator

A dentist like Claremont Serenity Dentistry 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.

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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.
56002
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

57724 (CA)

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

ADRIAN PELAEZ DDS DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(909) 398-4800

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
05D0970406
Facility Type
School/Student Health Service
Certificate Effective Date
February 14, 2024
Certificate Expiration Date
February 13, 2026
Laboratory Director
STEPHANIE B. LONG
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Claremont Serenity Dentistry 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 1134462823, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
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 4 → 8 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 6 + 4 + 8 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1134462823.

Other Providers at the Same Location


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

Dentist (General Practice)
410 W BASELINE RD
CLAREMONT, CA 91711
Dentist
410 W BASELINE RD
CLAREMONT, CA 91711
Dentist (General Practice)
410 W BASELINE RD
CLAREMONT, CA 91711
Dentist
410 W BASELINE RD
CLAREMONT, CA 91711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134462823, enumerated as an "organization" on April 01, 2013.

The provider is located at 410 W BASELINE RD CLAREMONT, CA 91711 and the phone number is (909) 398-4800.

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