TUALATIN PEDIATRIC DENTISTRY
NPI 1255762449
Clinic/Center - Dental in Tualatin, OR

NPI Status: Active since December 12, 2013

Contact Information

18803 SW BOONES FERRY RD
SUITE 5
TUALATIN, OR
ZIP 97062
Phone: (503) 692-3747
Fax: (503) 612-6948

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  • Organization
  • Clinic/Center
  • Dental

About TUALATIN PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Tualatin Pediatric Dentistry, a provider established in Tualatin, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1255762449 assigned on December 2013. The practitioner's primary taxonomy code is 261QD0000X with license number D9222 (OR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Lisa S Yarborough Dds (Pediatric Dentist)

NPI
1255762449
Provider Name
TUALATIN PEDIATRIC DENTISTRY
Entity Type
Organization
Location Address
18803 SW BOONES FERRY RD SUITE 5 TUALATIN, OR 97062
Location Phone
(503) 692-3747
Location Fax
(503) 612-6948
Mailing Address
18803 SW BOONES FERRY RD SUITE 5 TUALATIN, OR 97062
Mailing Phone
(503) 692-3747
Mailing Fax
(503) 612-6948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2013
Last Update Date
12-12-2013
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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
License No.
D9222
License State
OR

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. LISA S YARBOROUGH DDS

Authorized Official Title
PEDIATRIC DENTIST
Authorized Official Phone
(503) 692-3747

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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.
1255762449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105146448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 6 + 4 + 4 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1255762449 is valid because the calculated check digit 9 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.

PATRICIA L RIDGLEY D.M.D

Dentist

(Pediatric Dentistry)

18803 SW BOONES FERRY RD
STE 5
TUALATIN, OR
ZIP 97062

(503) 692-3747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255762449, enumerated as an "organization" on December 12, 2013.

The provider is located at 18803 SW BOONES FERRY RD SUITE 5 TUALATIN, OR 97062 and the phone number is (503) 692-3747.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.