FAIR LAKES DENTAL SERVICES
NPI 1154447589
Dentist - General Practice in Fairfax, VA
NPI Status: Active since March 21, 2007
Contact Information
11166 FAIRFAX BLVD STE 400
FAIRFAX, VA
ZIP 22030
Phone: (703) 691-3015
Fax: (703) 691-3016
- Organization
- Dentist
- General Practice
About FAIR LAKES DENTAL SERVICES
This page provides the complete NPI Profile along with additional information for Fair Lakes Dental Services, a provider established in Fairfax, Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1154447589 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 0401008681 (VA). 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 provider's is doing business as Fair Lakes Dental Services. The authorized official of this NPI record is Dr. Keith Jonathan Wilson Dds (Owner President)
- NPI
- 1154447589
- Provider Legal Name
- KEITH J WILSON DDS PC
- Other Organization Name
- FAIR LAKES DENTAL SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11166 FAIRFAX BLVD STE 400 FAIRFAX, VA 22030
- Location Phone
- (703) 691-3015
- Location Fax
- (703) 691-3016
- Mailing Address
- 11166 FAIRFAX BLVD STE 400 FAIRFAX, VA 22030
- Mailing Phone
- (703) 691-3015
- Mailing Fax
- (703) 691-3016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Fair Lakes Dental Services 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.
- 0401008681
- License State
- VA
- 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 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.
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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 1154447589, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FAIRFAX, VA 22030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154447589, enumerated as an "organization" on March 21, 2007.
The provider is located at 11166 FAIRFAX BLVD STE 400 FAIRFAX, VA 22030 and the phone number is (703) 691-3015.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
