GRANDRIDGE DENTAL
NPI 1255886487
Dentist in Kennewick, WA

NPI Status: Active since August 17, 2016

Contact Information

7103 W GRANDRIDGE BLVD STE G
KENNEWICK, WA
ZIP 99336
Phone: (509) 737-1800
Fax: (509) 734-9448

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  • Organization
  • Dentist
  • Accepts Insurance
  • CLIA Number: 50D2279316
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About GRANDRIDGE DENTAL

This page provides the complete NPI Profile along with additional information for Grandridge Dental, a provider established in Kennewick, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1255886487 assigned on August 2016. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Grandridge Dental. The authorized official of this NPI record is Jeffrey Morgan (Owner)

NPI
1255886487
Provider Legal Name
JEFFREY D MORGAN DMD PS
Other Organization Name
GRANDRIDGE DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7103 W GRANDRIDGE BLVD STE G KENNEWICK, WA 99336
Location Phone
(509) 737-1800
Location Fax
(509) 734-9448
Mailing Address
7103 W GRANDRIDGE BLVD STE G KENNEWICK, WA 99336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2016
Last Update Date
09-30-2022
Code Navigator

A dentist like Grandridge Dental 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

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

Insurance Plans Accepted

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

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - 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

JEFFREY MORGAN

Authorized Official Title
OWNER
Authorized Official Phone
(509) 737-1800

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
50D2279316
Facility Type
Other - AFH
Certificate Effective Date
March 31, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
MARINA KORF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grandridge Dental 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.

Reviews for GRANDRIDGE DENTAL

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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.
1255886487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210516812416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255886487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

JEFFREY D MORGAN D.M.D.

Dentist

(General Practice)

7103 W GRANDRIDGE BLVD STE G
KENNEWICK, WA
ZIP 99336

(509) 737-1800

QUIRT, MONGRAIN, GIBREE, P.C.

Dentist

(General Practice)

7103 W GRANDRIDGE BLVD STE G
KENNEWICK, WA
ZIP 99336

(509) 737-1800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255886487, enumerated as an "organization" on August 17, 2016.

The provider is located at 7103 W GRANDRIDGE BLVD STE G KENNEWICK, WA 99336 and the phone number is (509) 737-1800.

Dentist with taxonomy code 122300000X.

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