ST. CROIX KIDDS PEDIATRIC DENTISTRY
NPI 1407131618
Dentist - Pediatric Dentistry in White Bear Lake, MN
NPI Status: Active since October 19, 2011
Contact Information
4951 MOREHEAD AVE
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 324-4270
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
- CLIA Number: 52D2273305
- CLIA Cert. Type: Other - JAIL MEDICAL UNIT
- CLIA Exp. Date: 12-11-2026
About ST. CROIX KIDDS PEDIATRIC DENTISTRY
This page provides the complete NPI Profile along with additional information for St. Croix Kidds Pediatric Dentistry, a provider established in White Bear Lake, Minnesota operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1407131618 assigned on October 2011. The practitioner's primary taxonomy code is 1223P0221X with license number 6666-015 (WI). The provider is registered as an organization and their NPI record was last updated 15 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. Darcy Jay Rindelaub D.d.s. (Pediatric Dentist)
- NPI
- 1407131618
- Provider Name
- ST. CROIX KIDDS PEDIATRIC DENTISTRY
- Entity Type
- Organization
- Location Address
- 4951 MOREHEAD AVE WHITE BEAR LAKE, MN 55110
- Location Phone
- (651) 324-4270
- Mailing Address
- 400 2ND ST S SUITE 250 HUDSON, WI 54016
- Mailing Phone
- (715) 808-0460
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2011
- Last Update Date
- 10-19-2011
- Code Navigator
A dentist like St. Croix Kidds Pediatric Dentistry 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 6666-015
- License State
- WI
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 52D2273305
- Facility Type
- Other - JAIL MEDICAL UNIT
- Certificate Effective Date
- December 12, 2024
- Certificate Expiration Date
- December 11, 2026
- Laboratory Director
- TONYA POWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Croix Kidds Pediatric Dentistry 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 1407131618, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407131618, enumerated as an "organization" on October 19, 2011.
The provider is located at 4951 MOREHEAD AVE WHITE BEAR LAKE, MN 55110 and the phone number is (651) 324-4270.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
