PHONSUDA CHANTHAVISOUK RDH, MDT
NPI 1548844053
Dental Therapist in Minneapolis, MN
NPI Status: Active since May 11, 2021
Contact Information
728 E HENNEPIN AVE
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 746-1530
- Individual
- Female
- Dental Therapist
About PHONSUDA CHANTHAVISOUK
This page provides the complete NPI Profile along with additional information for Phonsuda Chanthavisouk, a provider established in Minneapolis, Minnesota with a medical specialization in Dental Therapist. The healthcare provider is registered in the NPI registry with number 1548844053 assigned on May 2021. The practitioner's primary taxonomy code is 125J00000X with license number DT137 (MN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1548844053
- Provider Name
- PHONSUDA CHANTHAVISOUK RDH, MDT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 728 E HENNEPIN AVE MINNEAPOLIS, MN 55414
- Location Phone
- (612) 746-1530
- Mailing Address
- 6145 14TH AVE S MINNEAPOLIS, MN 55423
- Mailing Phone
- (612) 961-9886
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2021
- Last Update Date
- 08-08-2023
- Code Navigator
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
Dental Therapist
- Taxonomy Code
- 125J00000X
- Type
- Dental Providers
- License No.
- DT137
- License State
- MN
- Taxonomy Description
- A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 124Q00000X | Dental Providers | Dental Hygienist | H11002 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| DT137 | MEDICAID (05) | MN |
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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 1548844053, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548844053, enumerated as an "individual" on May 11, 2021.
The provider is located at 728 E HENNEPIN AVE MINNEAPOLIS, MN 55414 and the phone number is (612) 746-1530.
Dental Therapist with taxonomy code 125J00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
