PEDIATRIC DENTISTRY OF ALASKA
NPI 1568616548
Clinic/Center - Dental in Wasilla, AK

NPI Status: Active since November 04, 2008

Contact Information

3470 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654
Phone: (907) 373-8684
Fax: (907) 373-8465

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About PEDIATRIC DENTISTRY OF ALASKA

This page provides the complete NPI Profile along with additional information for Pediatric Dentistry Of Alaska, a provider established in Wasilla, Alaska operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568616548 assigned on November 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 924 (AK). The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as Pediatric Dentistry Of Alaska. The authorized official of this NPI record is Roger Duane Beck Dda (Owner/president)

NPI
1568616548
Provider Legal Name
PEDIATRIC DENTISTRY OF ALASKA
Other Organization Name
PEDIATRIC DENTISTRY OF ALASKA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3470 E MERIDIAN PARK LOOP WASILLA, AK 99654
Location Phone
(907) 373-8684
Location Fax
(907) 373-8465
Mailing Address
3470 E MERIDIAN PARK LOOP WASILLA, AK 99654
Mailing Phone
(907) 373-8684
Mailing Fax
(907) 373-8465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2008
Last Update Date
09-12-2018
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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
License No.
924
License State
AK

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)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

924 (AK)

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.

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • 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

ROGER DUANE BECK DDA

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(907) 373-8684

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
1003811MEDICAID (05)AK 
1583802MEDICAID (05)AK 

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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 1568616548, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 2 + 1 + 1 + 2 + 5 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1568616548.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dentist (Pediatric Dentistry)
3470 E MERIDIAN PARK LOOP
WASILLA, AK 99654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568616548, enumerated as an "organization" on November 04, 2008.

The provider is located at 3470 E MERIDIAN PARK LOOP WASILLA, AK 99654 and the phone number is (907) 373-8684.

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

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.