COMMACK DENTAL ASSOCIATES
NPI 1528532009
Durable Medical Equipment & Medical Supplies - Customized Equipment in Commack, NY

NPI Status: Active since January 17, 2019

Contact Information

164 COMMACK RD STE 4
COMMACK, NY
ZIP 11725
Phone: (631) 499-3377

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment
  • CLIA Number: 33D0156650
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-02-2028

About COMMACK DENTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Commack Dental Associates, a provider established in Commack, New York operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1528532009 assigned on January 2019. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Commack Dental Associates. The authorized official of this NPI record is Gregory Kennedy Dds (Owner)

NPI
1528532009
Provider Legal Name
GREGORY W KENNEDY DDS PLLC
Other Organization Name
COMMACK DENTAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
164 COMMACK RD STE 4 COMMACK, NY 11725
Location Phone
(631) 499-3377
Mailing Address
164 COMMACK RD STE 4 COMMACK, NY 11725
Mailing Phone
(631) 499-3377
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2019
Last Update Date
04-04-2019
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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

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

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

GREGORY KENNEDY DDS

Authorized Official Title
OWNER
Authorized Official Phone
(631) 858-3377

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
33D0156650
Facility Type
Physician Office
Certificate Effective Date
January 03, 2026
Certificate Expiration Date
January 02, 2028
Laboratory Director
DR. JEAN M. JOHNSTON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Commack Dental Associates after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1528532009, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
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 2 → 4 5 → 10 → 1 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 1 + 0 + 3 + 4 + 0 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1528532009.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528532009, enumerated as an "organization" on January 17, 2019.

The provider is located at 164 COMMACK RD STE 4 COMMACK, NY 11725 and the phone number is (631) 499-3377.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.