SOUTH LAKE PEDIATRIC DENTISTRY
NPI 1154673846
Dentist - Pediatric Dentistry in Huntersville, NC

NPI Status: Active since October 05, 2012

Contact Information

9625 NORTHCROSS CENTER CT
SUITE: 101
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 875-9075

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  • Organization
  • Dentist
  • Pediatric Dentistry

About SOUTH LAKE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for South Lake Pediatric Dentistry, a provider established in Huntersville, North Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1154673846 assigned on October 2012. The practitioner's primary taxonomy code is 1223P0221X with license number 7221 (NC). The provider is registered as an organization and their NPI record was last updated 14 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 South Lake Pediatric Dentistry. The authorized official of this NPI record is Mrs. Yaimara Diaz (Office Manager)

NPI
1154673846
Provider Legal Name
DR FRANK KENDRICK DMD-HUNTERSVILLE PA
Other Organization Name
SOUTH LAKE PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9625 NORTHCROSS CENTER CT SUITE: 101 HUNTERSVILLE, NC 28078
Location Phone
(704) 875-9075
Mailing Address
9625 NORTHCROSS CENTER CT SUITE: 101 HUNTERSVILLE, NC 28078
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2012
Last Update Date
10-05-2012
Code Navigator

A dentist like South Lake Pediatric 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.

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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
7221
License State
NC
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. YAIMARA DIAZ

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(704) 875-9075

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1386752061MEDICAID (05)NC 

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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 1154673846, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 5 → 10 → 1 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 2 + 7 + 6 + 8 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154673846.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Critical Care Medicine)
9625 NORTHCROSS CENTER CT, SUITE 102-A
HUNTERSVILLE, NC 28078
Pediatrics (Pediatric Endocrinology)
9625 NORTHCROSS CENTER CT, SUITE 102-C
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9625 NORTHCROSS CENTER CT, SUITE 102-B
HUNTERSVILLE, NC 28078
Pediatrics (Pediatric Pulmonology)
9625 NORTHCROSS CENTER CT, SUITE 102-C
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Neurology)
9625 NORTHCROSS CENTER CT, SUITE 102-F
HUNTERSVILLE, NC 28078
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9625 NORTHCROSS CENTER CT, SUITE 102-E
HUNTERSVILLE, NC 28078
Pediatrics (Pediatric Gastroenterology)
9625 NORTHCROSS CENTER CT, SUITE 102-G
HUNTERSVILLE, NC 28078
Orthopaedic Surgery
9625 NORTHCROSS CENTER CT, SUITE 102
HUNTERSVILLE, NC 28078
Dentist (General Practice)
9625 NORTHCROSS CENTER CT
HUNTERSVILLE, NC 28078
Pediatrics
9625 NORTHCROSS CENTER CT, SUITE 201
HUNTERSVILLE, NC 28078
Urology (Pediatric Urology)
9625 NORTHCROSS CENTER CT, SUITE 102
HUNTERSVILLE, NC 28078
Pediatrics
9625 NORTHCROSS CENTER CT, SUITE 201
HUNTERSVILLE, NC 28078
Pediatrics
9625 NORTHCROSS CENTER CT, SUITE 201
HUNTERSVILLE, NC 28078
Pediatrics
9625 NORTHCROSS CENTER CT, STE 201
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Neurology)
9625 NORTHCROSS CENTER CT, STE 102B
HUNTERSVILLE, NC 28078
Pediatrics
9625 NORTHCROSS CENTER CT, STE 201
HUNTERSVILLE, NC 28078
Internal Medicine (Gastroenterology)
9625 NORTHCROSS CENTER CT, STE 102G
HUNTERSVILLE, NC 28078
Pediatrics (Pediatric Endocrinology)
9625 NORTHCROSS CENTER CT, STE 102C
HUNTERSVILLE, NC 28078
Pediatrics (Pediatric Pulmonology)
9625 NORTHCROSS CENTER CT, STE 102D
HUNTERSVILLE, NC 28078
Dentist (Pediatric Dentistry)
9625 NORTHCROSS CENTER CT
HUNTERSVILLE, NC 28078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154673846, enumerated as an "organization" on October 05, 2012.

The provider is located at 9625 NORTHCROSS CENTER CT SUITE: 101 HUNTERSVILLE, NC 28078 and the phone number is (704) 875-9075.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.