ROOTS DENTAL STUDIO
NPI 1366930604
Clinic/Center - Dental in Oak Lawn, IL

NPI Status: Active since April 23, 2018

Contact Information

5425 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 636-0565
Fax: (708) 636-0566

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  • Organization
  • Clinic/Center
  • Dental

About ROOTS DENTAL STUDIO

This page provides the complete NPI Profile along with additional information for Roots Dental Studio, a provider established in Oak Lawn, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1366930604 assigned on April 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Roots Dental Studio. The authorized official of this NPI record is Paraj Patel Dmd (President)

NPI
1366930604
Provider Legal Name
PSP DENTAL SERVICES PC
Other Organization Name
ROOTS DENTAL STUDIO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5425 W 95TH ST OAK LAWN, IL 60453
Location Phone
(708) 636-0565
Location Fax
(708) 636-0566
Mailing Address
5425 W 95TH ST OAK LAWN, IL 60453
Mailing Phone
(708) 636-0565
Mailing Fax
(708) 636-0566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2018
Last Update Date
01-08-2025
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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 State
IL

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

PARAJ PATEL DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 303-8996

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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 1366930604, 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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
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 6 → 12 → 3 9 → 18 → 9 0 → 0 0 → 0

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 + 3 + 0 + 6 + 0 + 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 1366930604.

Other Providers at the Same Location


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

Dentist
5425 W 95TH ST
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366930604, enumerated as an "organization" on April 23, 2018.

The provider is located at 5425 W 95TH ST OAK LAWN, IL 60453 and the phone number is (708) 636-0565.

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