BONNEY LAKE DENTAL CENTER
NPI 1477783199
Dentist - General Practice in Bonney Lake, WA

NPI Status: Active since July 15, 2009

Contact Information

9925 214TH AVE E STE A
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 863-4594
Fax: (253) 863-5061

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 50D2282128
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About BONNEY LAKE DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Bonney Lake Dental Center, a provider established in Bonney Lake, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1477783199 assigned on July 2009. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 17 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 Mrs. Delia Constantin Dds (Dentist)

NPI
1477783199
Provider Name
BONNEY LAKE DENTAL CENTER
Entity Type
Organization
Location Address
9925 214TH AVE E STE A BONNEY LAKE, WA 98391
Location Phone
(253) 863-4594
Location Fax
(253) 863-5061
Mailing Address
9925 214TH AVE E STE A BONNEY LAKE, WA 98391
Mailing Phone
(253) 863-4594
Mailing Fax
(253) 863-5061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2009
Last Update Date
07-15-2009
Code Navigator

A dentist like Bonney Lake Dental Center 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.

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

MRS. DELIA CONSTANTIN DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(253) 863-4594

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
50D2282128
Facility Type
Other - AFH
Certificate Effective Date
May 17, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
SAMUEL MBUA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bonney Lake Dental Center 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 1477783199, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 7 → 14 → 5 3 → 6 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 + 4 + 7 + 1 + 4 + 8 + 6 + 1 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1477783199.

Other Providers at the Same Location


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

Dentist (General Practice)
9925 214TH AVE E STE A
BONNEY LAKE, WA 98391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477783199, enumerated as an "organization" on July 15, 2009.

The provider is located at 9925 214TH AVE E STE A BONNEY LAKE, WA 98391 and the phone number is (253) 863-4594.

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