Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LA VERNE MODERN DENTISTRY, PROF. CORP.
NPI 1215857404
Dentist - General Practice in La Verne, CA

Active since July 17, 2026
1500 FOOTHILL BLVD, LA VERNE, CA 91750(909) 906-3765(909) 962-8201 Get DirectionsWrite a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About LA VERNE MODERN DENTISTRY, PROF. CORP.

This page provides the complete NPI Profile along with additional information for La Verne Modern Dentistry, Prof. Corp., a provider established in La Verne, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1215857404 assigned on July 2026. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated July 2026. La Verne Modern Dentistry, Prof. Corp. 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 Abanub Wasfy Farag Dds (Owner)

NPI
1215857404
Provider Name
LA VERNE MODERN DENTISTRY, PROF. CORP.
Entity Type
Organization
Location Address
1500 FOOTHILL BLVD LA VERNE, CA 91750
Location Phone
(909) 906-3765
Location Fax
(909) 962-8201
Mailing Address
PO BOX 660041 DALLAS, TX 75266
Mailing Phone
(714) 845-8890
Mailing Fax
(303) 952-0892
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2026
Last Update Date
07-17-2026
Code Navigator

A dentist like La Verne Modern Dentistry, Prof. Corp. 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 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

ABANUB WASFY FARAG DDS

Authorized Official Title
OWNER
Authorized Official Phone
(909) 906-3765

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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 1215857404, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 6 + 5 + 1 + 4 + 4 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215857404.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215857404, enumerated as an "organization" on July 17, 2026.

The provider is located at 1500 FOOTHILL BLVD LA VERNE, CA 91750 and the phone number is (909) 906-3765.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.