FAMILIA DENTAL WEST GREEN BAY
NPI 1588197149
Clinic/Center - Dental in Green Bay, WI

NPI Status: Active since April 10, 2017

Contact Information

2280 W MASON ST
GREEN BAY, WI
ZIP 54303
Phone: (888) 988-4066
Fax: (847) 496-4850

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  • Organization
  • Clinic/Center
  • Dental

About FAMILIA DENTAL WEST GREEN BAY

This page provides the complete NPI Profile along with additional information for Familia Dental West Green Bay, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1588197149 assigned on April 2017. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brandon Alexander Taylor Cpcs (Credentialing & Payer Relations Mgr)

NPI
1588197149
Provider Name
FAMILIA DENTAL WEST GREEN BAY
Entity Type
Organization
Location Address
2280 W MASON ST GREEN BAY, WI 54303
Location Phone
(888) 988-4066
Location Fax
(847) 496-4850
Mailing Address
2050 E ALGONQUIN RD STE 610 SCHAUMBURG, IL 60173
Mailing Phone
(888) 988-4066
Mailing Fax
(847) 496-4850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2017
Last Update Date
10-15-2021
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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

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

BRANDON ALEXANDER TAYLOR CPCS

Authorized Official Title
CREDENTIALING & PAYER RELATIONS MGR
Authorized Official Phone
(847) 453-7396

Reviews for FAMILIA DENTAL WEST GREEN BAY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588197149
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168291418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 9 + 1 + 4 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1588197149 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

JENIFER JO ZOBRO RDH

Dental Hygienist

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(920) 321-3501

ALICIA NICOLE GENDRON RDH

Dental Hygienist

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(920) 321-3501

ELIZABETH MURAYAMA CHAVEZ MATIAS DDS

Dentist

(General Practice)

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(888) 988-4066

OLEKSII GUDYM

Dentist

(General Practice)

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(888) 988-4066

DIMPLEJIT SINGH MANGAT DDS

Dentist

(General Practice)

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(920) 321-3501

DR. ARUN KUMAR SHARMA DDS

Dentist

(General Practice)

2280 W MASON ST
GREEN BAY, WI
ZIP 54303

(920) 321-3501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588197149, enumerated as an "organization" on April 10, 2017.

The provider is located at 2280 W MASON ST GREEN BAY, WI 54303 and the phone number is (888) 988-4066.

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