JENIN DENTAL CORP.
NPI 1235702994
Clinic/Center - Dental in Chicago, IL

NPI Status: Active since July 21, 2021

Contact Information

3939 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 235-0000

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Dental

About JENIN DENTAL CORP.

This page provides the complete NPI Profile along with additional information for Jenin Dental Corp., a provider established in Chicago, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1235702994 assigned on July 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Ahmed Massad Dds (Doctor)

NPI: 1235702994
Provider Name: JENIN DENTAL CORP.
Entity Type: Organization
Location Address: 3939 W FULLERTON AVE CHICAGO, IL 60647
Location Phone: (773) 235-0000
Mailing Address: 500 N LAKE SHORE DR APT 3804 CHICAGO, IL 60611
Mailing Phone: (708) 916-2406
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-21-2021
Last Update Date: 07-21-2021
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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: DR. AHMED MASSAD DDS
Authorized Official Title: DOCTOR
Authorized Official Phone: (708) 916-2406

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	7	0	2	9	9	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	6	5	14	0	4	9	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 4 + 0 + 4 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1235702994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.