CHILDREN'S DENTAL CLINIC, PC
NPI 1477667913
Dentist - Pediatric Dentistry in Grand Island, NE

NPI Status: Active since August 19, 2006

Contact Information

3721 W 13TH
SUITE A
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 384-0332
Fax: (402) 797-2064

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 28D2118459
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-07-2026

About CHILDREN'S DENTAL CLINIC, PC

This page provides the complete NPI Profile along with additional information for Children's Dental Clinic, Pc, a provider established in Grand Island, Nebraska operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1477667913 assigned on August 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 4908 (NE). The provider is registered as an organization and their NPI record was last updated 15 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 Dr. Michael Philip Meyer Dds (Dentist/owner)

NPI
1477667913
Provider Name
CHILDREN'S DENTAL CLINIC, PC
Entity Type
Organization
Location Address
3721 W 13TH SUITE A GRAND ISLAND, NE 68803
Location Phone
(308) 384-0332
Location Fax
(402) 797-2064
Mailing Address
2840 S 70TH ST SUITE 7-352 LINCOLN, NE 68506
Mailing Phone
(308) 384-0332
Mailing Fax
(402) 797-2064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
05-09-2011
Code Navigator

A dentist like Children's Dental Clinic, Pc 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.
4908
License State
NE
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.

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

DR. MICHAEL PHILIP MEYER DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(308) 384-0332

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
=========13MEDICAID (05)MT 

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
28D2118459
Facility Type
Physician Office
Certificate Effective Date
September 08, 2024
Certificate Expiration Date
September 07, 2026
Laboratory Director
TERRI M. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Children's Dental Clinic, Pc 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 1477667913, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 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 + 4 + 7 + 1 + 2 + 6 + 1 + 4 + 9 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1477667913.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477667913, enumerated as an "organization" on August 19, 2006.

The provider is located at 3721 W 13TH SUITE A GRAND ISLAND, NE 68803 and the phone number is (308) 384-0332.

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

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