YAKIMA PEDIATRIC DENTISTRY
NPI 1588110464
Dentist - Pediatric Dentistry in Yakima, WA

NPI Status: Active since August 30, 2016

Contact Information

3909 CREEKSIDE LOOP
SUITE #140
YAKIMA, WA
ZIP 98902
Phone: (509) 834-2004
Fax: (509) 834-2007

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 50D0638453
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About YAKIMA PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Yakima Pediatric Dentistry, a provider established in Yakima, Washington operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1588110464 assigned on August 2016. The practitioner's primary taxonomy code is 1223P0221X with license number 00011242 (WA). The provider is registered as an organization and their NPI record was last updated 10 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 Yakima Pediatric Dentistry. The authorized official of this NPI record is Dr. Ashley Stormo Tercero D.d.s. (Pediatric Dentist/ Owner)

NPI
1588110464
Provider Legal Name
ASHLEY S. TERCERO, D.D.S., P.L.L.C.
Other Organization Name
YAKIMA PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3909 CREEKSIDE LOOP SUITE #140 YAKIMA, WA 98902
Location Phone
(509) 834-2004
Location Fax
(509) 834-2007
Mailing Address
3909 CREEKSIDE LOOP SUITE #140 YAKIMA, WA 98902
Mailing Phone
(509) 834-2004
Mailing Fax
(509) 834-2007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2016
Last Update Date
08-30-2016
Code Navigator

A dentist like Yakima Pediatric Dentistry 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
00011242
License State
WA
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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. ASHLEY STORMO TERCERO D.D.S.

Authorized Official Title
PEDIATRIC DENTIST/ OWNER
Authorized Official Phone
(509) 834-2004

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
50D0638453
Facility Type
Community Clinic
Certificate Effective Date
October 13, 1998
Certificate Expiration Date
April 04, 2028
Laboratory Director
DIDI EBERT
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Yakima Pediatric Dentistry in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1588110464, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 8 → 16 → 7 1 → 2 0 → 0 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 + 1 + 6 + 8 + 2 + 1 + 0 + 4 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1588110464.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP
YAKIMA, WA 98902
Physician Assistant (Medical)
3909 CREEKSIDE LOOP
YAKIMA, WA 98902
Physician Assistant (Medical)
3909 CREEKSIDE LOOP, SUITE 120
YAKIMA, WA 98902
Clinic/Center (Endoscopy)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Nurse Practitioner
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Pharmacist
3909 CREEKSIDE LOOP, SUITE 110
YAKIMA, WA 98902
Clinic/Center (Endoscopy)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Optometrist (Vision Therapy)
3909 CREEKSIDE LOOP, SUITE 150
YAKIMA, WA 98902
Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Clinic/Center (Multi-Specialty)
3909 CREEKSIDE LOOP, SUITE 120
YAKIMA, WA 98902
Clinical Medical Laboratory
3909 CREEKSIDE LOOP, SUITE120
YAKIMA, WA 98902
Physician Assistant (Medical)
3909 CREEKSIDE LOOP, SUITE 120
YAKIMA, WA 98902
Pharmacy (Compounding Pharmacy)
3909 CREEKSIDE LOOP, STE 110
YAKIMA, WA 98902
Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902
Internal Medicine (Gastroenterology)
3909 CREEKSIDE LOOP, SUITE 130
YAKIMA, WA 98902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588110464, enumerated as an "organization" on August 30, 2016.

The provider is located at 3909 CREEKSIDE LOOP SUITE #140 YAKIMA, WA 98902 and the phone number is (509) 834-2004.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.