PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1194191692
Dentist - Pediatric Dentistry in Ponte Vedra, FL
NPI Status: Active since August 19, 2015
Contact Information
480 TOWN PLAZA AVENUE
SUITE 110
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 880-5437
Fax: (904) 880-1490
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
- CLIA Number: 10D2300526
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-11-2026
About PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
This page provides the complete NPI Profile along with additional information for Ponte Vedra Pediatric Dentistry And Orthodontics, a provider established in Ponte Vedra, Florida operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1194191692 assigned on August 2015. The practitioner's primary taxonomy code is 1223P0221X with license number DN18271 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Ponte Vedra Pediatric Dentistry And Orthodontics 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 Mrs. Lindsay G. Maples Dmd (Owner)
- NPI
- 1194191692
- Provider Name
- PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
- Entity Type
- Organization
- Location Address
- 480 TOWN PLAZA AVENUE SUITE 110 PONTE VEDRA, FL 32081
- Location Phone
- (904) 880-5437
- Location Fax
- (904) 880-1490
- Mailing Address
- 480 TOWN PLAZA AVENUE SUITE 110 PONTE VEDRA, FL 32081
- Mailing Phone
- (904) 880-5437
- Mailing Fax
- (904) 880-1490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2015
- Last Update Date
- 08-19-2015
- Code Navigator
A dentist like Ponte Vedra Pediatric Dentistry And Orthodontics 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- DN18271
- License State
- FL
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D2300526
- Facility Type
- Physician Office
- Certificate Effective Date
- March 12, 2024
- Certificate Expiration Date
- March 11, 2026
- Laboratory Director
- ELIZABETH J. MARQUEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ponte Vedra Pediatric Dentistry And Orthodontics 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.
Reviews for PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
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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 1194191692, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194191692, enumerated as an "organization" on August 19, 2015.
The provider is located at 480 TOWN PLAZA AVENUE SUITE 110 PONTE VEDRA, FL 32081 and the phone number is (904) 880-5437.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
