FOUR SEASONS DENTAL PA
NPI 1194215616
Clinic/Center - Dental in Plymouth, MN

NPI Status: Active since May 10, 2018

Contact Information

4205 LANCASTER LN N STE 101
PLYMOUTH, MN
ZIP 55441
Phone: (763) 559-2976
Fax: (763) 559-4852

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  • Organization
  • Clinic/Center
  • Dental

About FOUR SEASONS DENTAL PA

This page provides the complete NPI Profile along with additional information for Four Seasons Dental Pa, a provider established in Plymouth, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1194215616 assigned on May 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Four Seasons Dental Pa. The authorized official of this NPI record is Kersten Hoffman (Clinic Administrator)

NPI
1194215616
Provider Legal Name
FOUR SEASONS DENTAL PA
Other Organization Name
FOUR SEASONS DENTAL PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4205 LANCASTER LN N STE 101 PLYMOUTH, MN 55441
Location Phone
(763) 559-2976
Location Fax
(763) 559-4852
Mailing Address
109 BUSHAWAY RD STE 300 WAYZATA, MN 55391
Mailing Phone
(952) 475-0225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2018
Last Update Date
05-10-2018
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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

KERSTEN HOFFMAN

Authorized Official Title
CLINIC ADMINISTRATOR
Authorized Official Phone
(952) 475-0225

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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 1194215616, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 9 → 18 → 9 2 → 4 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 4 + 1 + 1 + 0 + 6 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1194215616.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
4205 LANCASTER LN N STE 101
PLYMOUTH, MN 55441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194215616, enumerated as an "organization" on May 10, 2018.

The provider is located at 4205 LANCASTER LN N STE 101 PLYMOUTH, MN 55441 and the phone number is (763) 559-2976.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.