ICONIC DENTAL INC
NPI 1497103691
Dentist - General Practice in Walsenburg, CO

NPI Status: Active since May 27, 2016

Contact Information

624 MAIN ST
WALSENBURG, CO
ZIP 81089
Phone: (719) 695-1004
Fax: (719) 695-1006

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  • Organization
  • Dentist
  • General Practice

About ICONIC DENTAL INC

This page provides the complete NPI Profile along with additional information for Iconic Dental Inc, a provider established in Walsenburg, Colorado operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497103691 assigned on May 2016. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Taci Cooper (Office Manager)

NPI
1497103691
Provider Name
ICONIC DENTAL INC
Entity Type
Organization
Location Address
624 MAIN ST WALSENBURG, CO 81089
Location Phone
(719) 695-1004
Location Fax
(719) 695-1006
Mailing Address
624 MAIN ST WALSENBURG, CO 81089
Mailing Phone
(719) 695-1004
Mailing Fax
(719) 695-1006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2016
Last Update Date
05-27-2016
Code Navigator

A dentist like Iconic Dental Inc 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
License State
CO
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

TACI COOPER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(719) 241-3140

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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.
1497103691
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187206618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 0 + 6 + 6 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1497103691 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.

DR. JAMES SHOFF DMD

Dentist

(General Practice)

624 MAIN ST
WALSENBURG, CO
ZIP 81089

(719) 695-1004

SHOFF SMILES, PC

Dentist

(General Practice)

624 MAIN ST
WALSENBURG, CO
ZIP 81089

(719) 695-1004

DR. NATHAN HEYWOOD DDS

Dentist

624 MAIN ST
WALSENBURG, CO
ZIP 81089

(719) 695-1004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497103691, enumerated as an "organization" on May 27, 2016.

The provider is located at 624 MAIN ST WALSENBURG, CO 81089 and the phone number is (719) 695-1004.

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