CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
NPI 1306321351
Dentist - Pediatric Dentistry in Rexburg, ID

NPI Status: Active since September 26, 2018

Contact Information

859 S YELLOWSTONE HWY
REXBURG, ID
ZIP 83440
Phone: (208) 552-5439

Get Directions Write a Review

  • Organization
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance

About CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON

This page provides the complete NPI Profile along with additional information for Clubhouse Pediatric Dentistry Of Madison, a provider established in Rexburg, Idaho operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1306321351 assigned on September 2018. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jennifer Louise Robison (Financial Coordinator)

NPI
1306321351
Provider Name
CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
Entity Type
Organization
Location Address
859 S YELLOWSTONE HWY REXBURG, ID 83440
Location Phone
(208) 552-5439
Mailing Address
859 S YELLOWSTONE HWY REXBURG, ID 83440
Mailing Phone
(208) 552-5439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2018
Last Update Date
09-26-2018
Code Navigator

A dentist like Clubhouse Pediatric Dentistry Of Madison 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MRS. JENNIFER LOUISE ROBISON

Authorized Official Title
FINANCIAL COORDINATOR
Authorized Official Phone
(208) 520-1514

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
28954MEDICAID (05)ID 

Reviews for CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1306321351, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
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 0 → 0 3 → 6 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 6 + 2 + 2 + 3 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1306321351.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
859 S YELLOWSTONE HWY, SUITE 101
REXBURG, ID 83440
Nurse Practitioner (Family)
859 S YELLOWSTONE HWY, SUITE 1101
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY, SUITE 1702
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY, SUITE 1701
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY, SUITE 1701
REXBURG, ID 83440
Dentist (Pediatric Dentistry)
859 S YELLOWSTONE HWY, SUITE #1202
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY
REXBURG, ID 83440
Speech-Language Pathologist
859 S YELLOWSTONE HWY
REXBURG, ID 83440
Behavior Technician
859 S YELLOWSTONE HWY
REXBURG, ID 83440
Day Training, Developmentally Disabled Services
859 S YELLOWSTONE HWY
REXBURG, ID 83440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306321351, enumerated as an "organization" on September 26, 2018.

The provider is located at 859 S YELLOWSTONE HWY REXBURG, ID 83440 and the phone number is (208) 552-5439.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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