OAK BROOK DENTAL CENTER INC.
NPI 1174792568
Dentist in Oak Brook, IL

NPI Status: Active since February 29, 2008

Contact Information

120 OAK BROOK CENTER MALL STE 622
OAK BROOK, IL
ZIP 60523
Phone: (630) 368-0020
Fax: (630) 368-0055

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  • Organization
  • Dentist
  • CLIA Number: 14D2296268
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 01-21-2027

About OAK BROOK DENTAL CENTER INC.

This page provides the complete NPI Profile along with additional information for Oak Brook Dental Center Inc., a provider established in Oak Brook, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1174792568 assigned on February 2008. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 18 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 authorized official of this NPI record is Dr. Oliver V. Van Dds (President)

NPI
1174792568
Provider Name
OAK BROOK DENTAL CENTER INC.
Entity Type
Organization
Location Address
120 OAK BROOK CENTER MALL STE 622 OAK BROOK, IL 60523
Location Phone
(630) 368-0020
Location Fax
(630) 368-0055
Mailing Address
120 OAK BROOK CENTER MALL STE 622 OAK BROOK, IL 60523
Mailing Phone
(630) 368-0020
Mailing Fax
(630) 368-0055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-29-2008
Last Update Date
02-29-2008
Code Navigator

A dentist like Oak Brook Dental Center Inc. 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 State
IL
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 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.

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. OLIVER V. VAN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(630) 368-0020

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
14D2296268
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
January 22, 2025
Certificate Expiration Date
January 21, 2027
Laboratory Director
DR. BARINA AQIL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Oak Brook Dental Center Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1174792568, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 2 → 4 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 + 4 + 4 + 1 + 4 + 9 + 4 + 5 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1174792568.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
120 OAK BROOK CENTER MALL STE 622
OAK BROOK, IL 60523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174792568, enumerated as an "organization" on February 29, 2008.

The provider is located at 120 OAK BROOK CENTER MALL STE 622 OAK BROOK, IL 60523 and the phone number is (630) 368-0020.

Dentist with taxonomy code 122300000X.