4TH AVENUE DENTAL PC
NPI 1356580914
Dentist - General Practice in Mount Vernon, NY

NPI Status: Active since February 05, 2009

Contact Information

157 S 4TH AVE
MOUNT VERNON, NY
ZIP 10550
Phone: (914) 664-5342
Fax: (718) 275-3049

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  • Organization
  • Dentist
  • General Practice

About 4TH AVENUE DENTAL PC

This page provides the complete NPI Profile along with additional information for 4th Avenue Dental Pc, a provider established in Mount Vernon, New York operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1356580914 assigned on February 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 036630 (NY). The provider is registered as an organization and their NPI record was last updated 17 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 Dr. Haresh I Shah Dds (President)

NPI
1356580914
Provider Name
4TH AVENUE DENTAL PC
Entity Type
Organization
Location Address
157 S 4TH AVE MOUNT VERNON, NY 10550
Location Phone
(914) 664-5342
Location Fax
(718) 275-3049
Mailing Address
11033 64TH AVE FOREST HILLS, NY 11375
Mailing Phone
(917) 886-4568
Mailing Fax
(718) 275-3049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2009
Last Update Date
02-05-2009
Code Navigator

A dentist like 4th Avenue Dental Pc 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
036630
License State
NY
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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:

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

DR. HARESH I SHAH DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(914) 664-5342

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
00729819MEDICAID (05)NY 

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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 1356580914, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 5 → 10 → 1 5 → 10 → 1 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 0 + 8 + 0 + 9 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1356580914.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
157 S 4TH AVE
MOUNT VERNON, NY 10550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356580914, enumerated as an "organization" on February 05, 2009.

The provider is located at 157 S 4TH AVE MOUNT VERNON, NY 10550 and the phone number is (914) 664-5342.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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