EL MONTE DENTAL GROUP
NPI 1174714547
Dentist in Baldwin Park, CA

NPI Status: Active since August 09, 2007

Contact Information

13734 RAMONA AVE
BALDWIN PARK, CA
ZIP 91706
Phone: (626) 960-6616

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  • Organization
  • Dentist
  • CLIA Number: 05D1061059
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 11-07-2026

About EL MONTE DENTAL GROUP

This page provides the complete NPI Profile along with additional information for El Monte Dental Group, a provider established in Baldwin Park, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1174714547 assigned on August 2007. The practitioner's primary taxonomy code is 122300000X with license number 27016 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. El Monte Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is El Monte Dental Group. The authorized official of this NPI record is Dr. David Kutner D.md Kutner D.m.d (Dentist)

NPI
1174714547
Provider Legal Name
EL MONTE DENTAL GROUP
Other Organization Name
EL MONTE DENTAL GROUP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
13734 RAMONA AVE BALDWIN PARK, CA 91706
Location Phone
(626) 960-6616
Mailing Address
3701 SANTA ANITA AVE EL MONTE, CA 91731
Mailing Phone
(626) 442-4582
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2007
Last Update Date
04-20-2008
Code Navigator

A dentist like El Monte Dental Group 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
27016
License State
CA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

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

DR. DAVID KUTNER D.MD KUTNER D.M.D

Authorized Official Title
DENTIST
Authorized Official Phone
(626) 442-4582

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
=========OTHER (01)CATIN

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
05D1061059
Facility Type
School/Student Health Service
Certificate Effective Date
November 08, 2024
Certificate Expiration Date
November 07, 2026
Laboratory Director
CHINHNAM HATHUC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to El Monte Dental Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1174714547, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 7 → 14 → 5 7 → 14 → 5 4 → 8 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 + 4 + 4 + 1 + 4 + 1 + 8 + 5 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174714547.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174714547, enumerated as an "organization" on August 09, 2007.

The provider is located at 13734 RAMONA AVE BALDWIN PARK, CA 91706 and the phone number is (626) 960-6616.

Dentist with taxonomy code 122300000X.

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