MONTEVIDEO FAMILY DENTISTRY PA
NPI 1194801910
Dentist - General Practice in Montevideo, MN
NPI Status: Active since October 27, 2006
Contact Information
629 LEGION DR STE 2
MONTEVIDEO, MN
ZIP 56265
Phone: (320) 269-6416
Fax: (320) 269-8136
- Organization
- Dentist
- General Practice
- CLIA Number: 24D1012363
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About MONTEVIDEO FAMILY DENTISTRY PA
This page provides the complete NPI Profile along with additional information for Montevideo Family Dentistry Pa, a provider established in Montevideo, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1194801910 assigned on October 2006. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 2 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 James Kevin Zenk Dds (President Montevideo Family Dentist)
- NPI
- 1194801910
- Provider Name
- MONTEVIDEO FAMILY DENTISTRY PA
- Entity Type
- Organization
- Location Address
- 629 LEGION DR STE 2 MONTEVIDEO, MN 56265
- Location Phone
- (320) 269-6416
- Location Fax
- (320) 269-8136
- Mailing Address
- 629 LEGION DR STE 2 MONTEVIDEO, MN 56265
- Mailing Phone
- (320) 269-6416
- Mailing Fax
- (320) 269-8136
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2006
- Last Update Date
- 09-17-2024
- Code Navigator
A dentist like Montevideo Family Dentistry Pa 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 657524200 | MEDICAID (05) | MN |
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
- 24D1012363
- Facility Type
- Community Clinic
- Certificate Effective Date
- May 08, 2003
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- JUSTIN PELTOLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Montevideo Family Dentistry Pa 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 1194801910, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. 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 1194801910, enumerated as an "organization" on October 27, 2006.
The provider is located at 629 LEGION DR STE 2 MONTEVIDEO, MN 56265 and the phone number is (320) 269-6416.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
