TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC
NPI 1144093691
Clinic/Center - Federally Qualified Health Center (FQHC) in North Providence, RI

NPI Status: Active since November 06, 2023

Contact Information

1637 MINERAL SPRING AVE STE 101
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 519-1940
Fax: (401) 351-6613

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 41D2074379
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-06-2028

About TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Tri-county Caa Health Center Pediatric Dental Clinic, a primary care provider established in North Providence, Rhode Island operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1144093691 assigned on November 2023. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Tri-county Caa Health Center Pediatric Dental Clinic. The authorized official of this NPI record is Joseph R Desantis (President/ceo)

NPI
1144093691
Provider Legal Name
TRI-COUNTY COMMUNITY ACTION AGENCY
Other Organization Name
TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1637 MINERAL SPRING AVE STE 101 NORTH PROVIDENCE, RI 02904
Location Phone
(401) 519-1940
Location Fax
(401) 351-6613
Mailing Address
1126 HARTFORD AVE JOHNSTON, RI 02919
Mailing Phone
(401) 519-1940
Mailing Fax
(401) 351-6613
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-06-2023
Last Update Date
03-01-2024
Code Navigator

A primary care provider (PCP) like Tri-county Caa Health Center Pediatric Dental Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

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

JOSEPH R DESANTIS

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(401) 519-1976

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
41D2074379
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 07, 2026
Certificate Expiration Date
March 06, 2028
Laboratory Director
REBECCA FRIEDMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Tri-county Caa Health Center Pediatric Dental Clinic 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 1144093691, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 4 → 8 0 → 0 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 0 + 9 + 6 + 6 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1144093691.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144093691, enumerated as an "organization" on November 06, 2023.

The provider is located at 1637 MINERAL SPRING AVE STE 101 NORTH PROVIDENCE, RI 02904 and the phone number is (401) 519-1940.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).