LAKESIDE ENDODONTICS
NPI 1417284480
Dentist - Endodontics in Grafton, WI

NPI Status: Active since November 11, 2009

Contact Information

1245 CHEYENNE AVE
SUITE 104
GRAFTON, WI
ZIP 53024
Phone: (262) 377-2889
Fax: (262) 377-2680

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  • Organization
  • Dentist
  • Endodontics

About LAKESIDE ENDODONTICS

This page provides the complete NPI Profile along with additional information for Lakeside Endodontics, a provider established in Grafton, Wisconsin operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1417284480 assigned on November 2009. The practitioner's primary taxonomy code is 1223E0200X with license number 6129-15 (WI). 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 provider's is doing business as Lakeside Endodontics. The authorized official of this NPI record is Dr. Kelly Nicole West Dds (Owner)

NPI
1417284480
Provider Legal Name
WEST ENDODONTIC GROUP
Other Organization Name
LAKESIDE ENDODONTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1245 CHEYENNE AVE SUITE 104 GRAFTON, WI 53024
Location Phone
(262) 377-2889
Location Fax
(262) 377-2680
Mailing Address
1245 CHEYENNE AVE SUITE 104 GRAFTON, WI 53024
Mailing Phone
(262) 377-2889
Mailing Fax
(262) 377-2680
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2009
Last Update Date
11-11-2009
Code Navigator

A dentist like Lakeside Endodontics 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 Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
6129-15
License State
WI
Taxonomy Description
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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. KELLY NICOLE WEST DDS

Authorized Official Title
OWNER
Authorized Official Phone
(262) 377-2668

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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 1417284480, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 1 → 2 2 → 4 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 4 + 8 + 8 + 4 + 1 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1417284480.

Other Providers at the Same Location


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

Dentist (Endodontics)
1245 CHEYENNE AVE, SUITE 104
GRAFTON, WI 53024
Dermatology
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Nurse Practitioner
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Social Worker (Clinical)
1245 CHEYENNE AVE
GRAFTON, WI 53024
Counselor (Professional)
1245 CHEYENNE AVE, SUITE 200
GRAFTON, WI 53024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417284480, enumerated as an "organization" on November 11, 2009.

The provider is located at 1245 CHEYENNE AVE SUITE 104 GRAFTON, WI 53024 and the phone number is (262) 377-2889.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.