EAU CLAIRE FAMILY DENTISTRY
NPI 1457740789
Dentist - General Practice in Columbia, SC

NPI Status: Active since January 09, 2015

Contact Information

3800 N MAIN ST
STE. C
COLUMBIA, SC
ZIP 29203
Phone: (803) 705-3169
Fax: (803) 705-3175

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  • Organization
  • Dentist
  • General Practice

About EAU CLAIRE FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Eau Claire Family Dentistry, a provider established in Columbia, South Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1457740789 assigned on January 2015. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Eau Claire Family Dentistry. The authorized official of this NPI record is Delgaod Cantave (Ceo)

NPI
1457740789
Provider Legal Name
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Other Organization Name
EAU CLAIRE FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3800 N MAIN ST STE. C COLUMBIA, SC 29203
Location Phone
(803) 705-3169
Location Fax
(803) 705-3175
Mailing Address
PO BOX 3788 COLUMBIA, SC 29230
Mailing Phone
(803) 733-5969
Mailing Fax
(803) 705-3175
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2015
Last Update Date
02-03-2022
Code Navigator

A dentist like Eau Claire Family Dentistry 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DELGAOD CANTAVE

Authorized Official Title
CEO
Authorized Official Phone
(803) 733-5969

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZA9183MEDICAID (05)SC 

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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 1457740789, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 7 → 14 → 5 0 → 0 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 + 1 + 0 + 7 + 1 + 4 + 4 + 0 + 7 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457740789.

Other Providers at the Same Location


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

Physical Therapist
3800 N MAIN ST, SUITE E
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457740789, enumerated as an "organization" on January 09, 2015.

The provider is located at 3800 N MAIN ST STE. C COLUMBIA, SC 29203 and the phone number is (803) 705-3169.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.