KAHOKA DENTAL
NPI 1457634594
Dentist - Dental Public Health in Kahoka, MO

NPI Status: Active since September 26, 2011

Contact Information

22291 US HIGHWAY 136
KAHOKA, MO
ZIP 63445
Phone: (660) 727-1500
Fax: (660) 727-1502

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  • Organization
  • Dentist
  • Dental Public Health
  • CLIA Number: 26D0668882
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-20-2027

About KAHOKA DENTAL

This page provides the complete NPI Profile along with additional information for Kahoka Dental, a provider established in Kahoka, Missouri operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1457634594 assigned on September 2011. The practitioner's primary taxonomy code is 1223D0001X with license number 2007014537 (MO). The provider is registered as an organization and their NPI record was last updated 4 years ago. Kahoka Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kahoka Dental. The authorized official of this NPI record is Andrew Grimm (Executive Director)

NPI
1457634594
Provider Legal Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Other Organization Name
KAHOKA DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
22291 US HIGHWAY 136 KAHOKA, MO 63445
Location Phone
(660) 727-1500
Location Fax
(660) 727-1502
Mailing Address
1416 CROWN DR KIRKSVILLE, MO 63501
Mailing Phone
(660) 627-5757
Mailing Fax
(660) 727-1502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2011
Last Update Date
01-17-2022
Code Navigator

A dentist like Kahoka Dental 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 Dental Public Health

Taxonomy Code
1223D0001X
Type
Dental Providers
License No.
2007014537
License State
MO
Taxonomy Description
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

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

ANDREW GRIMM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(660) 627-5757

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
26D0668882
Facility Type
Hospital
Certificate Effective Date
July 21, 2025
Certificate Expiration Date
July 20, 2027
Laboratory Director
MARIA EVANS, MD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kahoka Dental on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1457634594, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 5 → 10 → 1 6 → 12 → 3 4 → 8 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 + 1 + 0 + 7 + 1 + 2 + 3 + 8 + 5 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457634594.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457634594, enumerated as an "organization" on September 26, 2011.

The provider is located at 22291 US HIGHWAY 136 KAHOKA, MO 63445 and the phone number is (660) 727-1500.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.