CANYON ORTHODONTICS
NPI 1447630116
Dentist - Orthodontics and Dentofacial Orthopedics in Puyallup, WA

NPI Status: Active since June 08, 2015

Contact Information

5620 112TH ST E
SUITE 255
PUYALLUP, WA
ZIP 98373
Phone: (253) 256-4000
Fax: (253) 770-9638

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  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics

About CANYON ORTHODONTICS

This page provides the complete NPI Profile along with additional information for Canyon Orthodontics, a provider established in Puyallup, Washington operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1447630116 assigned on June 2015. The practitioner's primary taxonomy code is 1223X0400X with license number 10731 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Canyon Orthodontics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Canyon Orthodontics. The authorized official of this NPI record is Dr. Thomas Henry Dds (Owner/dentist)

NPI
1447630116
Provider Legal Name
THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS
Other Organization Name
CANYON ORTHODONTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5620 112TH ST E SUITE 255 PUYALLUP, WA 98373
Location Phone
(253) 256-4000
Location Fax
(253) 770-9638
Mailing Address
5620 112TH ST E SUITE 255 PUYALLUP, WA 98373
Mailing Phone
(253) 256-4000
Mailing Fax
(253) 770-9638
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2015
Last Update Date
06-08-2015
Code Navigator

A dentist like Canyon Orthodontics 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 Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
License No.
10731
License State
WA
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

5432 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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. THOMAS HENRY DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(253) 256-4000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447630116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487123012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 3 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1447630116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

KORSMO & HENRY DDD PS

Dentist

(General Practice)

5620 112TH ST E
SUITE 250
PUYALLUP, WA
ZIP 98373

(253) 770-0529

MR. BRYCE WILSON MA, LMHC, LMFT

Counselor

(Mental Health)

5620 112TH ST E
STE. 215
PUYALLUP, WA
ZIP 98373

(253) 446-7176

BRYCE WILSON, PLLC

Counselor

(Mental Health)

5620 112TH ST E
STE. 215
PUYALLUP, WA
ZIP 98373

(253) 446-7176

NIC HOWE

Counselor

(Mental Health)

5620 112TH ST E
SUITE 215
PUYALLUP, WA
ZIP 98373

(253) 446-7176

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447630116, enumerated as an "organization" on June 08, 2015.

The provider is located at 5620 112TH ST E SUITE 255 PUYALLUP, WA 98373 and the phone number is (253) 256-4000.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.