ELKINS PARK DENTAL, INC.
NPI 1316392566
Clinic/Center - Dental in Elkins Park, PA

NPI Status: Active since April 25, 2016

Contact Information

7900 OLD YORK RD
SUITE 115A
ELKINS PARK, PA
ZIP 19027
Phone: (215) 277-1807

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 39D0681538
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2027

About ELKINS PARK DENTAL, INC.

This page provides the complete NPI Profile along with additional information for Elkins Park Dental, Inc., a provider established in Elkins Park, Pennsylvania operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1316392566 assigned on April 2016. The practitioner's primary taxonomy code is 261QD0000X with license number DS037680 (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Daeuk Moon (Owner)

NPI
1316392566
Provider Name
ELKINS PARK DENTAL, INC.
Entity Type
Organization
Location Address
7900 OLD YORK RD SUITE 115A ELKINS PARK, PA 19027
Location Phone
(215) 277-1807
Mailing Address
8115 RIDGE AVE PHILADELPHIA, PA 19128
Mailing Phone
(215) 487-2347
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2016
Last Update Date
04-25-2016
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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
License No.
DS037680
License State
PA

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

DAEUK MOON

Authorized Official Title
OWNER
Authorized Official Phone
(215) 487-2347

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
39D0681538
Facility Type
Physician Office
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
DR. DANIEL M. SILVERSTEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elkins Park Dental, Inc. 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 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 1316392566, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 6 + 9 + 4 + 5 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1316392566.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychologist
7900 OLD YORK RD, SUITE 110B
ELKINS PARK, PA 19027
Psychiatry & Neurology (Psychiatry)
7900 OLD YORK RD, SUITE1O9-A
ELKINS PARK, PA 19027
Psychiatry & Neurology (Geriatric Psychiatry)
7900 OLD YORK RD, APARTMENT 105A
ELKINS PARK, PA 19027
Dentist
7900 OLD YORK RD, SUITE 114A
ELKENS PARK, PA 19027
Psychiatry & Neurology (Psychiatry)
7900 OLD YORK RD, SUITE 106 B
ELKINS PARK, PA 19027
Clinic/Center (Dental)
7900 OLD YORK RD, SUITE 108A
ELKINS PARK, PA 19027
In Home Supportive Care
7900 OLD YORK RD, 114B
ELKINS PARK, PA 19027
Dentist (Oral and Maxillofacial Pathology)
7900 OLD YORK RD, 115 A
ELKINS PARK, PA 19027
Dentist (Orthodontics and Dentofacial Orthopedics)
7900 OLD YORK RD, #108A
ELKINS PARK, PA 19027
Counselor (Professional)
7900 OLD YORK RD, 105A
ELKINS PARK, PA 19027
Counselor (Professional)
7900 OLD YORK RD, SUITE 109A
ELKINS PARK, PA 19027
Dentist (Orthodontics and Dentofacial Orthopedics)
7900 OLD YORK RD, SUITE 108A
ELKINS PARK, PA 19027
Day Training, Developmentally Disabled Services
7900 OLD YORK RD, 700A
ELKINS PARK, PA 19027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316392566, enumerated as an "organization" on April 25, 2016.

The provider is located at 7900 OLD YORK RD SUITE 115A ELKINS PARK, PA 19027 and the phone number is (215) 277-1807.

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