EVERGREEN DENTURE CENTER
NPI 1184051054
Denturist in Vancouver, WA
NPI Status: Active since October 08, 2013
Contact Information
13720 NE 28TH ST
VANCOUVER, WA
ZIP 98682
Phone: (360) 256-4656
Fax: (360) 256-2829
- Organization
- Denturist
- CLIA Number: 50D2319394
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About EVERGREEN DENTURE CENTER
This page provides the complete NPI Profile along with additional information for Evergreen Denture Center, a provider established in Vancouver, Washington operating as a Denturist. The healthcare provider is registered in the NPI registry with number 1184051054 assigned on October 2013. The practitioner's primary taxonomy code is 122400000X. The provider is registered as an organization and their NPI record was last updated 13 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 Vadim Zalyashko Denturist (Denturist)
- NPI
- 1184051054
- Provider Name
- EVERGREEN DENTURE CENTER
- Entity Type
- Organization
- Location Address
- 13720 NE 28TH ST VANCOUVER, WA 98682
- Location Phone
- (360) 256-4656
- Location Fax
- (360) 256-2829
- Mailing Address
- 13720 NE 28TH ST VANCOUVER, WA 98682
- Mailing Phone
- (360) 256-4656
- Mailing Fax
- (360) 256-2829
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-08-2013
- Last Update Date
- 10-08-2013
- Code Navigator
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
Denturist
- Taxonomy Code
- 122400000X
- Type
- Dental Providers
- Taxonomy Description
- A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
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.
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
- 50D2319394
- Facility Type
- Other - AFH
- Certificate Effective Date
- February 27, 2025
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- VICTORIA SCURTU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Denture Center 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 1184051054, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184051054, enumerated as an "organization" on October 08, 2013.
The provider is located at 13720 NE 28TH ST VANCOUVER, WA 98682 and the phone number is (360) 256-4656.
Denturist with taxonomy code 122400000X.
