PUGET SOUND PEDIATRIC DENTISTRY
NPI 1154675064
Dentist - Pediatric Dentistry in Lake Stevens, WA

NPI Status: Active since October 30, 2012

Contact Information

9421 N. DAVIES ROAD #A
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 367-4149
Fax: (425) 609-4530

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  • Organization
  • Dentist
  • Pediatric Dentistry

About PUGET SOUND PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Puget Sound Pediatric Dentistry, a provider established in Lake Stevens, Washington operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1154675064 assigned on October 2012. The practitioner's primary taxonomy code is 1223P0221X with license number DE00009918 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Puget Sound Pediatric Dentistry operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Puget Sound Pediatric Dentistry. The authorized official of this NPI record is Mrs. Jessica R Knight (Account Receivable Manager)

NPI
1154675064
Provider Legal Name
PSPD - LAKE STEVENS PLLC
Other Organization Name
PUGET SOUND PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9421 N. DAVIES ROAD #A LAKE STEVENS, WA 98258
Location Phone
(425) 367-4149
Location Fax
(425) 609-4530
Mailing Address
9421 N. DAVIES ROAD #A LAKE STEVENS, WA 98258
Mailing Phone
(425) 367-4149
Mailing Fax
(425) 609-4530
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-30-2012
Last Update Date
04-11-2022
Code Navigator

A dentist like Puget Sound 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.
DE00009918
License State
WA
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.

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)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

 

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

MRS. JESSICA R KNIGHT

Authorized Official Title
ACCOUNT RECEIVABLE MANAGER
Authorized Official Phone
(425) 367-4149

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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 1154675064, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 5 → 10 → 1 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 + 1 + 0 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154675064.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154675064, enumerated as an "organization" on October 30, 2012.

The provider is located at 9421 N. DAVIES ROAD #A LAKE STEVENS, WA 98258 and the phone number is (425) 367-4149.

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