ELIZABETH BRUTUS R.D.H.A.P.
NPI 1376929638
Advanced Practice Dental Therapist in San Bernardino, CA

NPI Status: Active since August 09, 2015

Contact Information

2623 S ANDREWS LN
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 222-4654

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  • Individual
  • Female
  • Advanced Practice Dental Therapist

About ELIZABETH BRUTUS

This page provides the complete NPI Profile along with additional information for Elizabeth Brutus, a provider established in San Bernardino, California with a medical specialization in Advanced Practice Dental Therapist. The healthcare provider is registered in the NPI registry with number 1376929638 assigned on August 2015. The practitioner's primary taxonomy code is 125K00000X with license number 585 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1376929638
Provider Name
ELIZABETH BRUTUS R.D.H.A.P.
Gender
Female
Entity Type
Individual
Location Address
2623 S ANDREWS LN SAN BERNARDINO, CA 92408
Location Phone
(909) 222-4654
Mailing Address
2623 S ANDREWS LN SAN BERNARDINO, CA 92408
Mailing Phone
(909) 222-4654
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2015
Last Update Date
01-12-2021
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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

Advanced Practice Dental Therapist

Taxonomy Code
125K00000X
Type
Dental Providers
License No.
585
License State
CA
Taxonomy Description
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

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)
1124Q00000XDental Providers

Dental Hygienist

19425 (CA)

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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 1376929638, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 8 + 2 + 1 + 8 + 6 + 6 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376929638.

Other Providers at the Same Location


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

Clinic/Center (Dental)
2623 S ANDREWS LN
SAN BERNARDINO, CA 92408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376929638, enumerated as an "individual" on August 09, 2015.

The provider is located at 2623 S ANDREWS LN SAN BERNARDINO, CA 92408 and the phone number is (909) 222-4654.

Advanced Practice Dental Therapist with taxonomy code 125K00000X.