ADVANTAGE DENTAL
NPI 1285007807
Preferred Provider Organization in Bend, OR

NPI Status: Active since November 04, 2015

Contact Information

2381 NE CONNERS AVE
BEND, OR
ZIP 97701
Phone: (888) 468-0022

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 38D2178722
  • CLIA Cert. Type: Other - DENTAL
  • CLIA Exp. Date: 09-11-2026

About ADVANTAGE DENTAL

This page provides the complete NPI Profile along with additional information for Advantage Dental, a provider established in Bend, Oregon operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1285007807 assigned on November 2015. The practitioner's primary taxonomy code is 305R00000X with license number H6967 (OR). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Brynna Rust Rdh, Epdh (Dental Hygienist)

NPI
1285007807
Provider Name
ADVANTAGE DENTAL
Entity Type
Organization
Location Address
2381 NE CONNERS AVE BEND, OR 97701
Location Phone
(888) 468-0022
Mailing Address
948 NW 17TH ST REDMOND, OR 97756
Mailing Phone
(541) 571-7605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2015
Last Update Date
11-04-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
H6967
License State
OR
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

BRYNNA RUST RDH, EPDH

Authorized Official Title
DENTAL HYGIENIST
Authorized Official Phone
(541) 571-7605

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
38D2178722
Facility Type
Other - DENTAL
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
DR. GARY W. ALLEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advantage 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.

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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 1285007807, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 8 → 16 → 7 0 → 0 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 0 + 0 + 1 + 4 + 8 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1285007807.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (Pediatric Dentistry)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285007807, enumerated as an "organization" on November 04, 2015.

The provider is located at 2381 NE CONNERS AVE BEND, OR 97701 and the phone number is (888) 468-0022.

Preferred Provider Organization with taxonomy code 305R00000X.