ADVANCED DENTAL SPA OF FALL RIVER LLC
NPI 1356648075
Dentist - General Practice in Fall River, MA

NPI Status: Active since February 15, 2011

Contact Information

373 NEW BOSTON RD
FALL RIVER, MA
ZIP 02720
Phone: (508) 567-4544

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 22D2150601
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-27-2026

About ADVANCED DENTAL SPA OF FALL RIVER LLC

This page provides the complete NPI Profile along with additional information for Advanced Dental Spa Of Fall River Llc, a provider established in Fall River, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1356648075 assigned on February 2011. The practitioner's primary taxonomy code is 1223G0001X with license number 22252 (MA). The provider is registered as an organization and their NPI record was last updated 15 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. Raed Yazbeck (Owner)

NPI
1356648075
Provider Name
ADVANCED DENTAL SPA OF FALL RIVER LLC
Entity Type
Organization
Location Address
373 NEW BOSTON RD FALL RIVER, MA 02720
Location Phone
(508) 567-4544
Mailing Address
373 NEW BOSTON RD FALL RIVER, MA 02720
Mailing Phone
(508) 567-4544
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-15-2011
Last Update Date
02-15-2011
Code Navigator

A dentist like Advanced Dental Spa Of Fall River Llc 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.
22252
License State
MA
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.

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)
11223G0001XDental Providers

Dentist
General Practice

21657 (MA)

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.

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. RAED YAZBECK

Authorized Official Title
OWNER
Authorized Official Phone
(508) 567-4544

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
22D2150601
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
MARK X. LOWNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Dental Spa Of Fall River Llc 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 1356648075, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5

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 + 2 + 4 + 1 + 6 + 0 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356648075.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
373 NEW BOSTON RD, 2ND FLOOR
FALL RIVER, MA 02720
Pediatrics
373 NEW BOSTON RD
FALL RIVER, MA 02720
Obstetrics & Gynecology (Obstetrics)
373 NEW BOSTON RD
FALL RIVER, MA 02720
Obstetrics & Gynecology
373 NEW BOSTON RD
FALL RIVER, MA 02720
Clinic/Center (Ambulatory Surgical)
373 NEW BOSTON RD
FALL RIVER, MA 02720
Obstetrics & Gynecology
373 NEW BOSTON RD
FALL RIVER, MA 02720
Ophthalmology
373 NEW BOSTON RD
FALL RIVER, MA 02720
Ophthalmology
373 NEW BOSTON RD
FALL RIVER, MA 02720
Ophthalmology
373 NEW BOSTON RD
FALL RIVER, MA 02720
Specialist
373 NEW BOSTON RD, 2ND FLOOR
FALL RIVER, MA 02720
Ophthalmology
373 NEW BOSTON RD, SUITE 2
FALL RIVER, MA 02720
Nurse Practitioner (Obstetrics & Gynecology)
373 NEW BOSTON RD
FALL RIVER, MA 02720
Dietitian, Registered
373 NEW BOSTON RD
FALL RIVER, MA 02720
Obstetrics & Gynecology (Gynecology)
373 NEW BOSTON RD
FALL RIVER, MA 02720
Dentist
373 NEW BOSTON RD
FALL RIVER, MA 02720
Nurse Practitioner (Family)
373 NEW BOSTON RD
FALL RIVER, MA 02720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356648075, enumerated as an "organization" on February 15, 2011.

The provider is located at 373 NEW BOSTON RD FALL RIVER, MA 02720 and the phone number is (508) 567-4544.

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