BANNER -- UNIVERSITY DENTAL SERVICES LLC
NPI 1184094906
Clinic/Center - Dental in Phoenix, AZ
NPI Status: Active since October 06, 2015
Contact Information
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 839-2000
- Organization
- Clinic/Center
- Dental
- CLIA Number: 03D2301322
- CLIA Cert. Type: Other - NUCLEAR MEDICINE
- CLIA Exp. Date: 09-24-2026
About BANNER -- UNIVERSITY DENTAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for Banner -- University Dental Services Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1184094906 assigned on October 2015. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vp Finance)
- NPI
- 1184094906
- Provider Name
- BANNER -- UNIVERSITY DENTAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1111 E MCDOWELL RD PHOENIX, AZ 85006
- Location Phone
- (602) 839-2000
- Mailing Address
- 2901 N CENTRAL AVE PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-06-2015
- Last Update Date
- 10-06-2015
- 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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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
- 03D2301322
- Facility Type
- Other - NUCLEAR MEDICINE
- Certificate Effective Date
- September 25, 2024
- Certificate Expiration Date
- September 24, 2026
- Laboratory Director
- GAMAL SIDAROUS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Banner -- University Dental Services Llc 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 1184094906, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85006
PHOENIX, AZ 85006
PHOENIX, AZ 85006
PHOENIX, AZ 85006
PHOENIX, AZ 85006
PHOENIX, AZ 85006
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184094906, enumerated as an "organization" on October 06, 2015.
The provider is located at 1111 E MCDOWELL RD PHOENIX, AZ 85006 and the phone number is (602) 839-2000.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
