MAKE A SMILE CHILDREN'S DENTAL
NPI 1467877894
Dentist - Pediatric Dentistry in Folsom, CA

NPI Status: Active since February 21, 2014

Contact Information

2260 E BIDWELL ST
SUITE 305
FOLSOM, CA
ZIP 95630
Phone: (916) 380-0102

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  • Organization
  • Dentist
  • Pediatric Dentistry

About MAKE A SMILE CHILDREN'S DENTAL

This page provides the complete NPI Profile along with additional information for Make A Smile Children's Dental, a provider established in Folsom, California operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1467877894 assigned on February 2014. The practitioner's primary taxonomy code is 1223P0221X with license number 48036 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Make A Smile Children's Dental. The authorized official of this NPI record is Dr. Monica Tavallaei D.m.d (Owner)

NPI
1467877894
Provider Legal Name
TAVALLAEI DMD CORP
Other Organization Name
MAKE A SMILE CHILDREN'S DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2260 E BIDWELL ST SUITE 305 FOLSOM, CA 95630
Location Phone
(916) 380-0102
Mailing Address
2241 SUNSET BLVD SUITE D ROCKLIN, CA 95765
Mailing Phone
(916) 380-0102
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2014
Last Update Date
08-10-2022
Code Navigator

A dentist like Make A Smile Children's 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
48036
License State
CA
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

DR. MONICA TAVALLAEI D.M.D

Authorized Official Title
OWNER
Authorized Official Phone
(916) 781-6550

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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.
1467877894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412716714818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 6 + 7 + 1 + 4 + 8 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1467877894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

M. TAVALLAEI, DMD,INC.

Dentist

(General Practice)

2260 E BIDWELL ST
SUITE 110
FOLSOM, CA
ZIP 95630

(916) 984-4224

DR. BRADLEY ROBERT FALKE D.C.

Chiropractor

2260 E BIDWELL ST
STE 108
FOLSOM, CA
ZIP 95630

(916) 984-6555

S. JANG DDS INCORPORATED

Dentist

2260 E BIDWELL ST
# 110
FOLSOM, CA
ZIP 95630

(916) 984-4224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467877894, enumerated as an "organization" on February 21, 2014.

The provider is located at 2260 E BIDWELL ST SUITE 305 FOLSOM, CA 95630 and the phone number is (916) 380-0102.

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