ST. ANTHONY'S FAMILY DENTISTRY, LLC
NPI 1386973964
Dentist in Gig Harbor, WA

NPI Status: Active since December 10, 2009

Contact Information

11511 CANTERWOOD BLVD NW
STE. 120
GIG HARBOR, WA
ZIP 98332
Phone: (253) 857-2483

Get Directions Write a Review

  • Organization
  • Dentist
  • CLIA Number: 50D1095581
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-04-2028

About ST. ANTHONY'S FAMILY DENTISTRY, LLC

This page provides the complete NPI Profile along with additional information for St. Anthony's Family Dentistry, Llc, a provider established in Gig Harbor, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1386973964 assigned on December 2009. The practitioner's primary taxonomy code is 122300000X with license number 5841 (WA). The provider is registered as an organization and their NPI record was last updated 17 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. Mark D. Johnson Dds (President)

NPI
1386973964
Provider Name
ST. ANTHONY'S FAMILY DENTISTRY, LLC
Entity Type
Organization
Location Address
11511 CANTERWOOD BLVD NW STE. 120 GIG HARBOR, WA 98332
Location Phone
(253) 857-2483
Mailing Address
11511 CANTERWOOD BLVD NW STE. 120 GIG HARBOR, WA 98332
Mailing Phone
(253) 857-2483
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2009
Last Update Date
12-10-2009
Code Navigator

A dentist like St. Anthony's Family Dentistry, 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
5841
License State
WA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X 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. MARK D. JOHNSON DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(253) 857-2483

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
50D1095581
Facility Type
Hospital
Certificate Effective Date
February 11, 2009
Certificate Expiration Date
April 04, 2028
Laboratory Director
DR. BRIAN A. FOLZ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Anthony's Family Dentistry, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. ANTHONY'S FAMILY DENTISTRY, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1386973964, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 8 → 16 → 7 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 8 + 7 + 6 + 9 + 1 + 2 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1386973964.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
11511 CANTERWOOD BLVD NW, STE 205
GIG HARBOR, WA 98332
Surgery
11511 CANTERWOOD BLVD NW, STE 300
GIG HARBOR, WA 98332
Orthopaedic Surgery
11511 CANTERWOOD BLVD NW, STE 205
GIG HARBOR, WA 98332
Orthopaedic Surgery
11511 CANTERWOOD BLVD NW, STE 205
GIG HARBOR, WA 98332
Nurse Practitioner (Women's Health)
11511 CANTERWOOD BLVD NW, SUITE 145
GIG HARBOR, WA 98332
Chiropractor
11511 CANTERWOOD BLVD NW, SUITE 210
GIG HARBOR, WA 98332
Family Medicine
11511 CANTERWOOD BLVD NW, SUITE 100
GIG HARBOR, WA 98332
Internal Medicine (Nephrology)
11511 CANTERWOOD BLVD NW, STE 300
GIG HARBOR, WA 98332
Surgery
11511 CANTERWOOD BLVD NW, STE 300
GIG HARBOR, WA 98332
Obstetrics & Gynecology
11511 CANTERWOOD BLVD NW, STE 145
GIG HARBOR, WA 98332
Surgery
11511 CANTERWOOD BLVD NW, SUITE 145
GIG HARBOR, WA 98332
Internal Medicine (Cardiovascular Disease)
11511 CANTERWOOD BLVD NW, STE 110
GIG HARBOR, WA 98332
Registered Nurse
11511 CANTERWOOD BLVD NW, SUITE 220
GIG HARBOR, WA 98332
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11511 CANTERWOOD BLVD NW, SUITE 50
GIG HARBOR, WA 98332
Radiology (Radiation Oncology)
11511 CANTERWOOD BLVD NW, SUITE 50
GIG HARBOR, WA 98332
Chiropractor
11511 CANTERWOOD BLVD NW, SIOTE 210
GIG HARBOR, WA 98332
Surgery (Vascular Surgery)
11511 CANTERWOOD BLVD NW, SUITE 100
GIG HARBOR, WA 98332
Obstetrics & Gynecology
11511 CANTERWOOD BLVD NW, STE 145
GIG HARBOR, WA 98332
Pharmacy (Community/Retail Pharmacy)
11511 CANTERWOOD BLVD NW, STE 220
GIG HARBOR, WA 98332
Genetic Counselor, MS
11511 CANTERWOOD BLVD NW, STE 45
GIG HARBOR, WA 98332

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386973964, enumerated as an "organization" on December 10, 2009.

The provider is located at 11511 CANTERWOOD BLVD NW STE. 120 GIG HARBOR, WA 98332 and the phone number is (253) 857-2483.

Dentist with taxonomy code 122300000X.