MAIN STREET DENTAL OF SALT LAKE CITY
NPI 1245607068
Point of Service in Salt Lake City, UT

NPI Status: Active since August 27, 2015

Contact Information

3195 S MAIN ST STE 201
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 792-6033

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  • Organization
  • Point of Service
  • Accepts Insurance

About MAIN STREET DENTAL OF SALT LAKE CITY

This page provides the complete NPI Profile along with additional information for Main Street Dental Of Salt Lake City, a provider established in Salt Lake City, Utah operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1245607068 assigned on August 2015. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's former legal business name is Main Street Dental Of Salt Lake City. The authorized official of this NPI record is Jennifer D Wilson (Manager/owner)

NPI
1245607068
Provider Legal Name
MAIN STREET DENTAL OF SALT LAKE CITY
Other Organization Name
MAIN STREET DENTAL OF SALT LAKE CITY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3195 S MAIN ST STE 201 SALT LAKE CITY, UT 84115
Location Phone
(801) 792-6033
Mailing Address
7922 S GOLDENPOINTE WAY WEST JORDAN, UT 84088
Mailing Phone
(801) 792-6033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2015
Last Update Date
08-27-2015
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER D WILSON

Authorized Official Title
MANAGER/OWNER
Authorized Official Phone
(801) 792-6033

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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 1245607068, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 4 → 8 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 2 + 0 + 1 + 4 + 0 + 1 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1245607068.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245607068, enumerated as an "organization" on August 27, 2015.

The provider is located at 3195 S MAIN ST STE 201 SALT LAKE CITY, UT 84115 and the phone number is (801) 792-6033.

Point of Service with taxonomy code 305S00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.