QUABBIN VALLEY DENTAL PC
NPI 1437865896
Clinic/Center - Dental in Athol, MA

NPI Status: Active since January 27, 2023

Contact Information

546 MAIN ST
ATHOL, MA
ZIP 01331
Phone: (978) 830-4610

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 22D0068449
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About QUABBIN VALLEY DENTAL PC

This page provides the complete NPI Profile along with additional information for Quabbin Valley Dental Pc, a provider established in Athol, Massachusetts operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1437865896 assigned on January 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Dong Kim Dmd (Owner)

NPI
1437865896
Provider Name
QUABBIN VALLEY DENTAL PC
Entity Type
Organization
Location Address
546 MAIN ST ATHOL, MA 01331
Location Phone
(978) 830-4610
Mailing Address
546 MAIN ST ATHOL, MA 01331
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2023
Last Update Date
01-27-2023
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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. DONG KIM DMD

Authorized Official Title
OWNER
Authorized Official Phone
(617) 888-3400

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
22D0068449
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MICHELLE DIGREGORIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quabbin Valley Dental Pc 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 1437865896, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 3 → 6 8 → 16 → 7 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 6 + 7 + 1 + 6 + 6 + 1 + 0 + 8 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1437865896.

Other Providers at the Same Location


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

Dentist
546 MAIN ST
ATHOL, MA 01331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437865896, enumerated as an "organization" on January 27, 2023.

The provider is located at 546 MAIN ST ATHOL, MA 01331 and the phone number is (978) 830-4610.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.