NORTHLAND FAMILY DENTISTRY
NPI 1235291816
Dentist - General Practice in Hibbing, MN
NPI Status: Active since December 13, 2006
Contact Information
2011 3RD AVE E
HIBBING, MN
ZIP 55746
Phone: (218) 262-5536
Fax: (218) 263-8554
- Organization
- Dentist
- General Practice
- CLIA Number: 24D2293632
- CLIA Cert. Type: Other - NURSE PRACTIONER DIRECT P
- CLIA Exp. Date: 11-12-2025
About NORTHLAND FAMILY DENTISTRY
This page provides the complete NPI Profile along with additional information for Northland Family Dentistry, a provider established in Hibbing, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1235291816 assigned on December 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 7167 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Maryclare Jensen (Office Manager)
- NPI
- 1235291816
- Provider Name
- NORTHLAND FAMILY DENTISTRY
- Entity Type
- Organization
- Location Address
- 2011 3RD AVE E HIBBING, MN 55746
- Location Phone
- (218) 262-5536
- Location Fax
- (218) 263-8554
- Mailing Address
- 2011 3RD AVE E HIBBING, MN 55746
- Mailing Phone
- (218) 262-5536
- Mailing Fax
- (218) 263-8554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Northland Family Dentistry 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
- License No.
- 7167
- License State
- MN
- 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.
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
- 24D2293632
- Facility Type
- Other - NURSE PRACTIONER DIRECT P
- Certificate Effective Date
- November 13, 2023
- Certificate Expiration Date
- November 12, 2025
- Laboratory Director
- SHANNON R. PETROSKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northland Family Dentistry 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 2 | 9 | 1 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 4 | 9 | 2 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 4 + 9 + 2 + 8 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1235291816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
LEE DAVID HUDELSON D.D.S.
Dentist
(General Practice)
2011 3RD AVE E
HIBBING, MN
ZIP 55746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235291816, enumerated as an "organization" on December 13, 2006.
The provider is located at 2011 3RD AVE E HIBBING, MN 55746 and the phone number is (218) 262-5536.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
