LAKE AREA DENTAL
NPI 1265248173
Clinic/Center - Dental in White Bear Lake, MN

NPI Status: Active since December 05, 2024

Contact Information

4801 HIGHWAY 61 N STE 301
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 762-8474

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  • Organization
  • Clinic/Center
  • Dental

About LAKE AREA DENTAL

This page provides the complete NPI Profile along with additional information for Lake Area Dental, a provider established in White Bear Lake, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1265248173 assigned on December 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jordan Dittberner Dds (Dentist)

NPI
1265248173
Provider Name
LAKE AREA DENTAL
Entity Type
Organization
Location Address
4801 HIGHWAY 61 N STE 301 WHITE BEAR LAKE, MN 55110
Location Phone
(651) 762-8474
Mailing Address
140 WILDWOOD CT MAHTOMEDI, MN 55115
Mailing Phone
(651) 308-1177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2024
Last Update Date
12-05-2024
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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

JORDAN DITTBERNER DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(651) 308-1177

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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 1265248173, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 6 → 12 → 3 2 → 4 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 4 + 4 + 1 + 6 + 1 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1265248173.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265248173, enumerated as an "organization" on December 05, 2024.

The provider is located at 4801 HIGHWAY 61 N STE 301 WHITE BEAR LAKE, MN 55110 and the phone number is (651) 762-8474.

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