PERIODONTAL ASSOCIATES PC
NPI 1184845273
Dentist - Periodontics in Atlanta, GA

NPI Status: Active since May 02, 2007

Contact Information

1895 PHOENIX BLVD
STE 138
ATLANTA, GA
ZIP 30349
Phone: (770) 996-2900
Fax: (770) 996-0403

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  • Organization
  • Dentist
  • Periodontics

About PERIODONTAL ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Periodontal Associates Pc, a provider established in Atlanta, Georgia operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1184845273 assigned on May 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 6518 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Periodontal Associates Pc 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 Dr. Henry Leon Diversi Jr. Dmd Msd (President)

NPI
1184845273
Provider Name
PERIODONTAL ASSOCIATES PC
Entity Type
Organization
Location Address
1895 PHOENIX BLVD STE 138 ATLANTA, GA 30349
Location Phone
(770) 996-2900
Location Fax
(770) 996-0403
Mailing Address
1895 PHOENIX BLVD STE 138 ATLANTA, GA 30349
Mailing Phone
(770) 996-2900
Mailing Fax
(770) 996-0403
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Periodontal Associates Pc 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
6518
License State
GA
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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

DR. HENRY LEON DIVERSI JR. DMD MSD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 996-2900

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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 1184845273, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 8 → 16 → 7 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 6 + 4 + 1 + 0 + 2 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1184845273.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
1895 PHOENIX BLVD, SUITE 148
COLLEGE PARK, GA 30349
Dentist (Periodontics)
1895 PHOENIX BLVD, SUITE 138
ATLANTA, GA 30349
Social Worker (Clinical)
1895 PHOENIX BLVD, 166
ATLANTA, GA 30349
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Dentist (General Practice)
1895 PHOENIX BLVD, SUITE 148
COLLEGE PARK, GA 30349

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184845273, enumerated as an "organization" on May 02, 2007.

The provider is located at 1895 PHOENIX BLVD STE 138 ATLANTA, GA 30349 and the phone number is (770) 996-2900.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.