LONE MOUNTAIN FAMILY DENTAL
NPI 1366811747
Preferred Provider Organization in Las Vegas, NV

NPI Status: Active since September 16, 2015

Contact Information

4818 W LONE MOUNTAIN RD
LAS VEGAS, NV
ZIP 89130
Phone: (702) 655-9533
Fax: (702) 655-9565

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  • Preferred Provider Organization

About LONE MOUNTAIN FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Lone Mountain Family Dental, a provider established in Las Vegas, Nevada operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1366811747 assigned on September 2015. The practitioner's primary taxonomy code is 305R00000X with license number 6547 (NV). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's former legal business name is Lone Mountain Dental. The authorized official of this NPI record is Dr. Joshua David Etman Dds (President/ Doctor)

NPI
1366811747
Provider Legal Name
LONE MOUNTAIN FAMILY DENTAL
Other Organization Name
LONE MOUNTAIN DENTAL
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130
Location Phone
(702) 655-9533
Location Fax
(702) 655-9565
Mailing Address
4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130
Mailing Phone
(702) 655-9533
Mailing Fax
(702) 655-9565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2015
Last Update Date
09-16-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
6547
License State
NV
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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. JOSHUA DAVID ETMAN DDS

Authorized Official Title
PRESIDENT/ DOCTOR
Authorized Official Phone
(702) 655-9533

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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 1366811747, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
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 6 → 12 → 3 8 → 16 → 7 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 6 + 1 + 2 + 7 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1366811747.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Dentist
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clinic/Center (Dental)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Dentist (General Practice)
4818 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366811747, enumerated as an "organization" on September 16, 2015.

The provider is located at 4818 W LONE MOUNTAIN RD LAS VEGAS, NV 89130 and the phone number is (702) 655-9533.

Preferred Provider Organization with taxonomy code 305R00000X.