ELITE DENTAL GROUP CANON CITY
NPI 1518747765
Clinic/Center - Dental in Canon City, CO

NPI Status: Active since October 04, 2023

Contact Information

1215 N 15TH ST
CANON CITY, CO
ZIP 81212
Phone: (719) 275-5933

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About ELITE DENTAL GROUP CANON CITY

This page provides the complete NPI Profile along with additional information for Elite Dental Group Canon City, a provider established in Canon City, Colorado operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1518747765 assigned on October 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Elite Dental Group Canon City. The authorized official of this NPI record is Dr. Kyu Hyuk Jung Dds (President/dentist)

NPI
1518747765
Provider Legal Name
ELITE DENTAL GROUP CANON CITY INC
Other Organization Name
ELITE DENTAL GROUP CANON CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1215 N 15TH ST CANON CITY, CO 81212
Location Phone
(719) 275-5933
Mailing Address
1215 N 15TH ST CANON CITY, CO 81212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2023
Last Update Date
11-15-2023
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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.

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. KYU HYUK JUNG DDS

Authorized Official Title
PRESIDENT/DENTIST
Authorized Official Phone
(719) 275-5933

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
1396261251MEDICAID (05)CO 

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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 1518747765, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 1 → 2 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 1 + 4 + 4 + 1 + 4 + 7 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1518747765.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
1215 N 15TH ST
CANON CITY, CO 81212
Dental Hygienist
1215 N 15TH ST
CANON CITY, CO 81212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518747765, enumerated as an "organization" on October 04, 2023.

The provider is located at 1215 N 15TH ST CANON CITY, CO 81212 and the phone number is (719) 275-5933.

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

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.