DENTAL- EKLUTNA DENTAL CLINIC
NPI 1487121331
Clinic/Center - Dental in Chugiak, AK
NPI Status: Active since October 30, 2018
Contact Information
26341 EKLUTNA VILLAGE RD
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-6031
- Organization
- Clinic/Center
- Dental
About DENTAL- EKLUTNA DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Dental- Eklutna Dental Clinic, a provider established in Chugiak, Alaska operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1487121331 assigned on October 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 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 Dental- Eklutna Dental Clinic. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)
- NPI
- 1487121331
- Provider Legal Name
- SOUTHCENTRAL FOUNDATION
- Other Organization Name
- DENTAL- EKLUTNA DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 26341 EKLUTNA VILLAGE RD CHUGIAK, AK 99567
- Location Phone
- (907) 688-6031
- Mailing Address
- PO BOX 35151 SEATTLE, WA 98124
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-30-2018
- Last Update Date
- 10-10-2023
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist |
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.
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 |
|---|---|---|---|
| 1690189 | MEDICAID (05) | AK |
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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. | |||||||||
| 1 | 4 | 8 | 7 | 1 | 2 | 1 | 3 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 2 | 2 | 2 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 2 + 2 + 2 + 3 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1487121331 is valid because the calculated check digit 1 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.
SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
26341 EKLUTNA VILLAGE RD
CHUGIAK, AK
ZIP 99567
TERRIN LEE HOLLIMAN PA-C
Physician Assistant
26341 EKLUTNA VILLAGE RD
CHUGIAK, AK
ZIP 99567
SOUTHCENTRAL FOUNDATION
Clinic/Center
(Community Health)
26341 EKLUTNA VILLAGE RD
CHUGIAK, AK
ZIP 99567
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487121331, enumerated as an "organization" on October 30, 2018.
The provider is located at 26341 EKLUTNA VILLAGE RD CHUGIAK, AK 99567 and the phone number is (907) 688-6031.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
