MARBLE FALLS PEDIATRIC DENTISTRY PLLC
NPI 1467832014
Dentist - Pediatric Dentistry in Marble Falls, TX

NPI Status: Active since June 08, 2015

Contact Information

608 GATEWAY CENTRAL
SUITE 201
MARBLE FALLS, TX
ZIP 78654
Phone: (830) 428-2255

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 45D1025379
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 05-04-2026

About MARBLE FALLS PEDIATRIC DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for Marble Falls Pediatric Dentistry Pllc, a provider established in Marble Falls, Texas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1467832014 assigned on June 2015. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Carly Aly (Regional Manager)

NPI
1467832014
Provider Name
MARBLE FALLS PEDIATRIC DENTISTRY PLLC
Entity Type
Organization
Location Address
608 GATEWAY CENTRAL SUITE 201 MARBLE FALLS, TX 78654
Location Phone
(830) 428-2255
Mailing Address
608 GATEWAY CENTRAL SUITE 201 MARBLE FALLS, TX 78654
Mailing Phone
(830) 428-2255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2015
Last Update Date
06-08-2015
Code Navigator

A dentist like Marble Falls Pediatric Dentistry Pllc 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

CARLY ALY

Authorized Official Title
REGIONAL MANAGER
Authorized Official Phone
(936) 419-3235

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
45D1025379
Facility Type
Ambulance
Certificate Effective Date
May 05, 2024
Certificate Expiration Date
May 04, 2026
Laboratory Director
JOHNNY M. CAMPBELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marble Falls Pediatric Dentistry Pllc 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 1467832014, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 6 → 12 → 3 8 → 16 → 7 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 6 + 3 + 4 + 0 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1467832014.

Other Providers at the Same Location


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

Internal Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Nurse Practitioner (Family)
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Family Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Dentist (Pediatric Dentistry)
608 GATEWAY CENTRAL, SUITE 201
MARBLE FALLS, TX 78654
Family Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Physical Medicine & Rehabilitation
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Physical Therapist
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Family Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Physician Assistant
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467832014, enumerated as an "organization" on June 08, 2015.

The provider is located at 608 GATEWAY CENTRAL SUITE 201 MARBLE FALLS, TX 78654 and the phone number is (830) 428-2255.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.