SOUTH JERSEY DENTAL SLEEP CENTER LLC
NPI 1497101430
Clinic/Center - Dental in Medford, NJ

NPI Status: Active since May 09, 2016

Contact Information

76 N MAIN ST
MEDFORD, NJ
ZIP 08055
Phone: (609) 953-7199
Fax: (609) 953-0314

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 31D2149450
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-04-2026

About SOUTH JERSEY DENTAL SLEEP CENTER LLC

This page provides the complete NPI Profile along with additional information for South Jersey Dental Sleep Center Llc, a provider established in Medford, New Jersey operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1497101430 assigned on May 2016. The practitioner's primary taxonomy code is 261QD0000X with license number DI01615200 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Ken Hoover Dmd (Owner)

NPI
1497101430
Provider Name
SOUTH JERSEY DENTAL SLEEP CENTER LLC
Entity Type
Organization
Location Address
76 N MAIN ST MEDFORD, NJ 08055
Location Phone
(609) 953-7199
Location Fax
(609) 953-0314
Mailing Address
76 N MAIN ST MEDFORD, NJ 08055
Mailing Phone
(609) 953-7199
Mailing Fax
(609) 953-0314
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2016
Last Update Date
05-09-2016
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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
License No.
DI01615200
License State
NJ

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. KEN HOOVER DMD

Authorized Official Title
OWNER
Authorized Official Phone
(609) 953-7199

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
31D2149450
Facility Type
Physician Office
Certificate Effective Date
June 05, 2024
Certificate Expiration Date
June 04, 2026
Laboratory Director
MIRIAM R. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Jersey Dental Sleep Center Llc 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 1497101430, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 9 → 18 → 9 1 → 2 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 2 + 0 + 2 + 4 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497101430.

Other Providers at the Same Location


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

Dentist (General Practice)
76 N MAIN ST
MEDFORD, NJ 08055
Dentist (General Practice)
76 N MAIN ST
MEDFORD, NJ 08055
Dentist (General Practice)
76 N MAIN ST
MEDFORD, NJ 08055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497101430, enumerated as an "organization" on May 09, 2016.

The provider is located at 76 N MAIN ST MEDFORD, NJ 08055 and the phone number is (609) 953-7199.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.