MONTGOMERY COMPREHENSIVE DENTAL CENTER
NPI 1619354693
Exclusive Provider Organization in Conroe, TX
NPI Status: Active since April 29, 2015
Contact Information
2210 N FRAZIER ST
SUITE #120
CONROE, TX
ZIP 77303
Phone: (936) 539-3636
Fax: (936) 539-3639
- Organization
- Exclusive Provider Organization
- CLIA Number: 45D2275188
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 02-26-2026
About MONTGOMERY COMPREHENSIVE DENTAL CENTER
This page provides the complete NPI Profile along with additional information for Montgomery Comprehensive Dental Center, a provider established in Conroe, Texas operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1619354693 assigned on April 2015. The practitioner's primary taxonomy code is 302F00000X with license number 16499 (TX). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Miss Rachel D Stark (Financial Coordinator)
- NPI
- 1619354693
- Provider Name
- MONTGOMERY COMPREHENSIVE DENTAL CENTER
- Entity Type
- Organization
- Location Address
- 2210 N FRAZIER ST SUITE #120 CONROE, TX 77303
- Location Phone
- (936) 539-3636
- Location Fax
- (936) 539-3639
- Mailing Address
- 0951 LONESTAR PARKWAY MONTGOMERY, TX 77356
- Mailing Phone
- (936) 230-5445
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2015
- Last Update Date
- 04-29-2015
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- 16499
- License State
- TX
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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
- 45D2275188
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- February 27, 2024
- Certificate Expiration Date
- February 26, 2026
- Laboratory Director
- DR. IKE C. ILOCHONWU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Montgomery Comprehensive Dental Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1619354693, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
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 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CONROE, TX 77303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619354693, enumerated as an "organization" on April 29, 2015.
The provider is located at 2210 N FRAZIER ST SUITE #120 CONROE, TX 77303 and the phone number is (936) 539-3636.
Exclusive Provider Organization with taxonomy code 302F00000X.
