CUSTOM DENTAL OF CARROLLTON, PLLC
NPI 1366924383
Clinic/Center - Dental in Dallas, TX

NPI Status: Active since September 06, 2018

Contact Information

17610 MIDWAY RD STE 110
DALLAS, TX
ZIP 75287
Phone: (405) 227-6100

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  • Organization
  • Clinic/Center
  • Dental

About CUSTOM DENTAL OF CARROLLTON, PLLC

This page provides the complete NPI Profile along with additional information for Custom Dental Of Carrollton, Pllc, a provider established in Dallas, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1366924383 assigned on September 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 26171 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Rene Rodgers (Coo)

NPI
1366924383
Provider Name
CUSTOM DENTAL OF CARROLLTON, PLLC
Entity Type
Organization
Location Address
17610 MIDWAY RD STE 110 DALLAS, TX 75287
Location Phone
(405) 227-6100
Mailing Address
17610 MIDWAY RD STE 110 DALLAS, TX 75287
Mailing Phone
(405) 227-6100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2018
Last Update Date
09-08-2021
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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.
26171
License State
TX

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

RENE RODGERS

Authorized Official Title
COO
Authorized Official Phone
(405) 227-6100

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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 1366924383, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 9 → 18 → 9 4 → 8 8 → 16 → 7

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 + 8 + 2 + 8 + 3 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366924383.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
17610 MIDWAY RD STE 110
DALLAS, TX 75287
Dentist
17610 MIDWAY RD STE 110
DALLAS, TX 75287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366924383, enumerated as an "organization" on September 06, 2018.

The provider is located at 17610 MIDWAY RD STE 110 DALLAS, TX 75287 and the phone number is (405) 227-6100.

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