FAIRWAY DENTAL AZ PLLC
NPI 1609730779
Clinic/Center - Dental in Litchfield Park, AZ
NPI Status: Active since December 12, 2025
Contact Information
250 VILLAGE PARKWAY
SUITE 203/204
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (623) 428-1808
Fax: (623) 428-0690
- Organization
- Clinic/Center
- Dental
About FAIRWAY DENTAL AZ PLLC
This page provides the complete NPI Profile along with additional information for Fairway Dental Az Pllc, a provider established in Litchfield Park, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1609730779 assigned on December 2025. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated December 2025. The authorized official of this NPI record is Dr. Justin Ewell D.m.d. (Owner/denist)
- NPI
- 1609730779
- Provider Name
- FAIRWAY DENTAL AZ PLLC
- Entity Type
- Organization
- Location Address
- 250 VILLAGE PARKWAY SUITE 203/204 LITCHFIELD PARK, AZ 85340
- Location Phone
- (623) 428-1808
- Location Fax
- (623) 428-0690
- Mailing Address
- 250 VILLAGE PARKWAY SUITE 205 LITCHFIELD PARK, AZ 85340
- Mailing Phone
- (623) 428-1808
- Mailing Fax
- (623) 428-0690
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2025
- Last Update Date
- 12-22-2025
- 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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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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 1609730779, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609730779, enumerated as an "organization" on December 12, 2025.
The provider is located at 250 VILLAGE PARKWAY SUITE 203/204 LITCHFIELD PARK, AZ 85340 and the phone number is (623) 428-1808.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
