DENTAL SCHOOL BASED
NPI 1396965604
Public Health or Welfare in Owego, NY

NPI Status: Active since April 27, 2007

Contact Information

1062 ROUTE 38
OWEGO, NY
ZIP 13827
Phone: (607) 687-8600

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 33D2302106
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 03-26-2027

About DENTAL SCHOOL BASED

This page provides the complete NPI Profile along with additional information for Dental School Based, a provider established in Owego, New York operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1396965604 assigned on April 2007. The practitioner's primary taxonomy code is 251K00000X with license number 00356294 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Dental School Based. The authorized official of this NPI record is Ms. Janice M Yuricek (Administrative Accounting Superviso)

NPI
1396965604
Provider Legal Name
TIOGA COUNTY HEALTH DEPARTMENT
Other Organization Name
DENTAL SCHOOL BASED
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1062 ROUTE 38 OWEGO, NY 13827
Location Phone
(607) 687-8600
Mailing Address
1062 ROUTE 38 OWEGO, NY 13827
Mailing Phone
(607) 687-8600
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-27-2007
Last Update Date
03-15-2013
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
00356294
License State
NY

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

MS. JANICE M YURICEK

Authorized Official Title
ADMINISTRATIVE ACCOUNTING SUPERVISO
Authorized Official Phone
(607) 687-8573

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
33D2302106
Facility Type
Public Health Laboratories
Certificate Effective Date
April 04, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. JOHN P. ZEVAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dental School Based to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1396965604, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 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 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1 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 + 8 + 6 + 1 + 8 + 6 + 1 + 0 + 6 + 0 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1396965604.

Other Providers at the Same Location


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

Case Manager/Care Coordinator
1062 ROUTE 38
OWEGO, NY 13827
Case Manager/Care Coordinator
1062 ROUTE 38
OWEGO, NY 13827
Public Health or Welfare
1062 ROUTE 38
OWEGO, NY 13827
Public Health or Welfare
1062 ROUTE 38
OWEGO, NY 13827
Public Health or Welfare
1062 ROUTE 38
OWEGO, NY 13827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396965604, enumerated as an "organization" on April 27, 2007.

The provider is located at 1062 ROUTE 38 OWEGO, NY 13827 and the phone number is (607) 687-8600.

Public Health or Welfare with taxonomy code 251K00000X.