SQUAXIN ISLAND TRIBE
NPI 1255546578
Clinic/Center - Dental in Shelton, WA
NPI Status: Active since May 11, 2007
Contact Information
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006
- Organization
- Clinic/Center
- Dental
About SQUAXIN ISLAND TRIBE
This page provides the complete NPI Profile along with additional information for Squaxin Island Tribe, a provider established in Shelton, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1255546578 assigned on May 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Squaxin Island Tribe. The authorized official of this NPI record is Whitney Jones (Director)
- NPI
- 1255546578
- Provider Legal Name
- SQUAXIN ISLAND DENTAL CLINIC FFS
- Other Organization Name
- SQUAXIN ISLAND TRIBE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 90 SE KLAH CHE MIN DR SHELTON, WA 98584
- Location Phone
- (360) 427-9006
- Mailing Address
- 90 SE KLAH CHE MIN DR SHELTON, WA 98584
- Mailing Phone
- (360) 427-9006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License State
- WA
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 |
|---|---|---|---|
| 5052139 | MEDICAID (05) | WA |
Reviews for SQUAXIN ISLAND TRIBE
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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 | 5 | 5 | 5 | 4 | 6 | 5 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 4 | 12 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 1 + 2 + 5 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1255546578 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
SQUAXIN ISLAND TRIBE
Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MR. CHARLES TIFFANY BARRET P.A.-C.
Physician Assistant
(Medical)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MS. MICHELLE LOUISE WILEY RDH
Dental Hygienist
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
BRENDA DORSEY MSW, LMHC
Counselor
(Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MISS SUSAN ROWSON MA
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MS. PAMELA LYNN PETERS RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
DOUGLAS REITSCH RPH
Pharmacist
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
JONATHAN CORBIN WILTON M.D.
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MRS. DENEICE GURRAD RPH
Pharmacist
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
SQUAXIN ISLAND MEDICAL ENCOUNTER
Clinic/Center
(Health Service)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Clinic/Center
(Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
SQUAXIN ISLAND CHEMICAL DEPENDENCY ENCOUNTER
Clinic/Center
(Rehabilitation, Substance Use Disorder)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
SQUAXIN ISLAND MEDICAID ENCOUNTER
Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
SQUAXIN ISLAND MEDICAL ENCOUNTER
Clinic/Center
(Health Service)
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
RAYLEEN DENISE KIRKLAND PAC
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
MRS. RACHEL HELENA ARMAS ARNP, FNP-C
Nurse Practitioner
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
RACHEL MARIE ESPANTO RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255546578, enumerated as an "organization" on May 11, 2007.
The provider is located at 90 SE KLAH CHE MIN DR SHELTON, WA 98584 and the phone number is (360) 427-9006.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
