COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI 1447588991
Clinic/Center - Dental in Richmond, VA

NPI Status: Active since November 20, 2009

Contact Information

109 GOVERNOR ST
RICHMOND, VA
ZIP 23219
Phone: (804) 864-7774

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 49D2299718
  • CLIA Cert. Type: Other - EMPLOYEE WELLNESS CLINIC
  • CLIA Exp. Date: 02-25-2026

About COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

This page provides the complete NPI Profile along with additional information for Commonwealth Of Virginia State Board Of Health, a provider established in Richmond, Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1447588991 assigned on November 2009. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's former legal business name is Virginia Department Of Health Division Of Dental Health. The authorized official of this NPI record is Dr. David Suttle Md (Director, Office Of Family Health)

NPI
1447588991
Provider Legal Name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other Organization Name
VIRGINIA DEPARTMENT OF HEALTH DIVISION OF DENTAL HEALTH
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
109 GOVERNOR ST RICHMOND, VA 23219
Location Phone
(804) 864-7774
Mailing Address
109 GOVERNOR ST RM 927 RICHMOND, VA 23219
Mailing Phone
(804) 864-7774
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2009
Last Update Date
01-13-2010
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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
License State
VA

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. DAVID SUTTLE MD

Authorized Official Title
DIRECTOR, OFFICE OF FAMILY HEALTH
Authorized Official Phone
(804) 864-7650

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
49D2299718
Facility Type
Other - EMPLOYEE WELLNESS CLINIC
Certificate Effective Date
February 26, 2024
Certificate Expiration Date
February 25, 2026
Laboratory Director
FRANK J. TORTORELLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Commonwealth Of Virginia State Board Of Health 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 1447588991, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 4 → 8 5 → 10 → 1 8 → 16 → 7 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 + 8 + 7 + 1 + 0 + 8 + 1 + 6 + 9 + 1 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1447588991.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
109 GOVERNOR ST, ROOM 644B
RICHMOND, VA 23219
Public Health or Welfare
109 GOVERNOR ST, 3RD FLOOR
RICHMOND, VA 23219
Preventive Medicine (Public Health & General Preventive Medicine)
109 GOVERNOR ST, MADISON BUILDING, 6TH FLOOR
RICHMOND, VA 23219
Preventive Medicine (Public Health & General Preventive Medicine)
109 GOVERNOR ST, 13TH FLOOR
RICHMOND, VA 23219
Dentist (Dental Public Health)
109 GOVERNOR ST
RICHMOND, VA 23219
Preventive Medicine (Public Health & General Preventive Medicine)
109 GOVERNOR ST
RICHMOND, VA 23219
Preventive Medicine (Public Health & General Preventive Medicine)
109 GOVERNOR ST, 13TH FLOOR
RICHMOND, VA 23219
Public Health or Welfare
109 GOVERNOR ST, 9TH FLOOR
RICHMOND, VA 23219
Pediatrics
109 GOVERNOR ST, ROOM 1314
RICHMOND, VA 23219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447588991, enumerated as an "organization" on November 20, 2009.

The provider is located at 109 GOVERNOR ST RICHMOND, VA 23219 and the phone number is (804) 864-7774.

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