TIDEWATER LLC
NPI 1144884560
Dentist - General Practice in Charlotte Hall, MD

NPI Status: Active since May 01, 2019

Contact Information

30320 TRIANGLE DR
CHARLOTTE HALL, MD
ZIP 20622
Phone: (301) 359-1717
Fax: (301) 359-1719

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  • Organization
  • Dentist
  • General Practice

About TIDEWATER LLC

This page provides the complete NPI Profile along with additional information for Tidewater Llc, a provider established in Charlotte Hall, Maryland operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1144884560 assigned on May 2019. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Tidewater Llc 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 Simone Wilson (Director Of Credentialing & Enroll)

NPI
1144884560
Provider Name
TIDEWATER LLC
Entity Type
Organization
Location Address
30320 TRIANGLE DR CHARLOTTE HALL, MD 20622
Location Phone
(301) 359-1717
Location Fax
(301) 359-1719
Mailing Address
21534 GREAT MILLS RD LEXINGTON PARK, MD 20653
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-01-2019
Last Update Date
05-02-2023
Code Navigator

A dentist like Tidewater Llc 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
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.

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

SIMONE WILSON

Authorized Official Title
DIRECTOR OF CREDENTIALING & ENROLL
Authorized Official Phone
(848) 326-8840

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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 1144884560, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 8 → 16 → 7 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 6 + 8 + 8 + 5 + 1 + 2 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1144884560.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144884560, enumerated as an "organization" on May 01, 2019.

The provider is located at 30320 TRIANGLE DR CHARLOTTE HALL, MD 20622 and the phone number is (301) 359-1717.

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