BLUE BACK DENTAL LLC
NPI 1174814495
Dentist - General Practice in West Hartford, CT

NPI Status: Active since April 20, 2011

Contact Information

65 MEMORIAL RD STE 400
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 233-9300
Fax: (860) 233-9304

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  • Organization
  • Dentist
  • General Practice

About BLUE BACK DENTAL LLC

This page provides the complete NPI Profile along with additional information for Blue Back Dental Llc, a provider established in West Hartford, Connecticut operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1174814495 assigned on April 2011. The practitioner's primary taxonomy code is 1223G0001X with license number 5904 (CT). The provider is registered as an organization and their NPI record was last updated 15 years ago. Blue Back Dental Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kirsten E Capozzi (Practice Manager)

NPI
1174814495
Provider Name
BLUE BACK DENTAL LLC
Entity Type
Organization
Location Address
65 MEMORIAL RD STE 400 WEST HARTFORD, CT 06107
Location Phone
(860) 233-9300
Location Fax
(860) 233-9304
Mailing Address
65 MEMORIAL RD STE 400 WEST HARTFORD, CT 06107
Mailing Phone
(860) 233-9300
Mailing Fax
(860) 233-9304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2011
Last Update Date
04-20-2011
Code Navigator

A dentist like Blue Back Dental Llc 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.

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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.
5904
License State
CT
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.

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)
11223G0001XDental Providers

Dentist
General Practice

8915 (CT)
21223P0300XDental Providers

Dentist
Periodontics

5407 (CT)

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

KIRSTEN E CAPOZZI

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(860) 233-9300

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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 1174814495, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 8 → 16 → 7 4 → 8 9 → 18 → 9

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 + 6 + 1 + 8 + 4 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1174814495.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174814495, enumerated as an "organization" on April 20, 2011.

The provider is located at 65 MEMORIAL RD STE 400 WEST HARTFORD, CT 06107 and the phone number is (860) 233-9300.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.