MEDICAID DENTAL HOME
NPI 1336570167
Dentist - Dental Public Health in Colorado Springs, CO

NPI Status: Active since December 04, 2013

Contact Information

2125 E LA SALLE ST
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 310-3315

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  • Organization
  • Dentist
  • Dental Public Health

About MEDICAID DENTAL HOME

This page provides the complete NPI Profile along with additional information for Medicaid Dental Home, a provider established in Colorado Springs, Colorado operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1336570167 assigned on December 2013. The practitioner's primary taxonomy code is 1223D0001X with license number 8109 (CO). The provider is registered as an organization and their NPI record was last updated 13 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 Michelle Vacha Rdh (Executive Director)

NPI
1336570167
Provider Name
MEDICAID DENTAL HOME
Entity Type
Organization
Location Address
2125 E LA SALLE ST COLORADO SPRINGS, CO 80909
Location Phone
(719) 310-3315
Mailing Address
2604 FLINTRIDGE DR COLORADO SPRINGS, CO 80918
Mailing Phone
(719) 338-2195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2013
Last Update Date
12-04-2013
Code Navigator

A dentist like Medicaid Dental Home 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 Dental Public Health

Taxonomy Code
1223D0001X
Type
Dental Providers
License No.
8109
License State
CO
Taxonomy Description
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

903783 (CO)

Group Taxonomy 193400000X MULTIPLE 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:

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

MICHELLE VACHA RDH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(719) 338-2195

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
84887761MEDICAID (05)CO 

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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 1336570167, 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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 3 → 6 5 → 10 → 1 0 → 0 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 + 6 + 6 + 1 + 0 + 7 + 0 + 1 + 1 + 2 + 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 1336570167.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2125 E LA SALLE ST, SUITE M13
COLORADO SPRINGS, CO 80909
Clinic/Center
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
Clinic/Center (Community Health)
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
Physical Therapist
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336570167, enumerated as an "organization" on December 04, 2013.

The provider is located at 2125 E LA SALLE ST COLORADO SPRINGS, CO 80909 and the phone number is (719) 310-3315.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.

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