SIREN DENTAL CLINIC
NPI 1285760751
Clinic/Center - Dental in Siren, WI

NPI Status: Active since February 26, 2007

Contact Information

24164 HIGHWAY 35-70
SIREN, WI
ZIP 54872
Phone: (715) 349-2297
Fax: (715) 349-2298

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 52D0397138
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-29-2026

About SIREN DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Siren Dental Clinic, a provider established in Siren, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1285760751 assigned on February 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Siren Dental Clinic. The authorized official of this NPI record is Dr. Jon E Cruz D.d.s. (Member)

NPI
1285760751
Provider Legal Name
OAK PARK DENTAL CLINIC
Other Organization Name
SIREN DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24164 HIGHWAY 35-70 SIREN, WI 54872
Location Phone
(715) 349-2297
Location Fax
(715) 349-2298
Mailing Address
PO BOX 269 SIREN, WI 54872
Mailing Phone
(715) 349-2297
Mailing Fax
(715) 349-2298
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2007
Last Update Date
03-09-2011
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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

DR. JON E CRUZ D.D.S.

Authorized Official Title
MEMBER
Authorized Official Phone
(715) 349-2297

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
52D0397138
Facility Type
Physician Office
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
DR. ALAN J. HAESEMEYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Siren Dental Clinic 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 1285760751, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 7 → 14 → 5 0 → 0 5 → 10 → 1

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 + 1 + 4 + 6 + 0 + 7 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1285760751.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285760751, enumerated as an "organization" on February 26, 2007.

The provider is located at 24164 HIGHWAY 35-70 SIREN, WI 54872 and the phone number is (715) 349-2297.

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