RIVERSIDE DENTAL PLLC
NPI 1609302231
Dentist in Grand Forks, ND

NPI Status: Active since May 02, 2017

Contact Information

1165 S COLUMBIA RD
STE. B
GRAND FORKS, ND
ZIP 58201
Phone: (701) 772-3544
Fax: (701) 772-3411

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  • Organization
  • Dentist
  • Accepts Insurance

About RIVERSIDE DENTAL PLLC

This page provides the complete NPI Profile along with additional information for Riverside Dental Pllc, a provider established in Grand Forks, North Dakota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1609302231 assigned on May 2017. The practitioner's primary taxonomy code is 122300000X with license number 2037 (ND). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Amanda Vesterso Dds (Owner)

NPI
1609302231
Provider Name
RIVERSIDE DENTAL PLLC
Entity Type
Organization
Location Address
1165 S COLUMBIA RD STE. B GRAND FORKS, ND 58201
Location Phone
(701) 772-3544
Location Fax
(701) 772-3411
Mailing Address
1165 S COLUMBIA RD STE. B GRAND FORKS, ND 58201
Mailing Phone
(701) 772-3544
Mailing Fax
(701) 772-3411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2017
Last Update Date
05-02-2017
Code Navigator

A dentist like Riverside Dental Pllc 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
2037
License State
ND
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

*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

DR. AMANDA VESTERSO DDS

Authorized Official Title
OWNER
Authorized Official Phone
(701) 772-3544

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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.
1609302231
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260960426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 0 + 4 + 2 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1609302231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609302231, enumerated as an "organization" on May 02, 2017.

The provider is located at 1165 S COLUMBIA RD STE. B GRAND FORKS, ND 58201 and the phone number is (701) 772-3544.

Dentist with taxonomy code 122300000X.

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