CHICAGO LAKE DENTAL
NPI 1497936389
Dentist - General Practice in Minneapolis, MN

NPI Status: Active since November 19, 2007

Contact Information

2900 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 823-2080
Fax: (612) 823-5777

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  • Organization
  • Dentist
  • General Practice

About CHICAGO LAKE DENTAL

This page provides the complete NPI Profile along with additional information for Chicago Lake Dental, a provider established in Minneapolis, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497936389 assigned on November 2007. The practitioner's primary taxonomy code is 1223G0001X with license number D9512 (MN). The provider is registered as an organization and their NPI record was last updated 19 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. David William Johnson Jr. Dds (Owner)

NPI
1497936389
Provider Name
CHICAGO LAKE DENTAL
Entity Type
Organization
Location Address
2900 CHICAGO AVE MINNEAPOLIS, MN 55407
Location Phone
(612) 823-2080
Location Fax
(612) 823-5777
Mailing Address
2900 CHICAGO AVE MINNEAPOLIS, MN 55407
Mailing Phone
(612) 823-2080
Mailing Fax
(612) 823-5777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2007
Last Update Date
11-19-2007
Code Navigator

A dentist like Chicago Lake Dental 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 No.
D9512
License State
MN
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

DR. DAVID WILLIAM JOHNSON JR. DDS

Authorized Official Title
OWNER
Authorized Official Phone
(612) 823-2080

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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 1497936389, 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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3 8 → 16 → 7

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 + 1 + 8 + 3 + 1 + 2 + 3 + 1 + 6 + 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 1497936389.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407
Clinic/Center (Dental)
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407
Dental Therapist
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407
Dental Therapist
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407
Dental Therapist
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497936389, enumerated as an "organization" on November 19, 2007.

The provider is located at 2900 CHICAGO AVE MINNEAPOLIS, MN 55407 and the phone number is (612) 823-2080.

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