DR. ROBERT JAMES PETERS DMD
NPI 1629064829
Dentist - General Practice in Jacksonville, FL

NPI Status: Active since September 22, 2005

Contact Information

NAVY MEDICINE SUPPORT COMMAND/MEDICAL STAFF SERVICES
BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL
ZIP 32212
Phone: (760) 725-5102

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  • Individual
  • Male
  • Dentist
  • General Practice
  • CLIA Number: 05D0936144
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About ROBERT PETERS

This page provides the complete NPI Profile along with additional information for Robert Peters, a provider established in Jacksonville, Florida with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1629064829 assigned on September 2005. The practitioner's primary taxonomy code is 1223G0001X with license number 38732 (CA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1629064829
Provider Name
DR. ROBERT JAMES PETERS DMD
Gender
Male
Entity Type
Individual
Location Address
NAVY MEDICINE SUPPORT COMMAND/MEDICAL STAFF SERVICES BLDG H 2005 KNIGHT LANE JACKSONVILLE, FL 32212
Location Phone
(760) 725-5102
Mailing Address
16 CALLE CONGREJO SAN CLEMENTE, CA 92673
Is Sole Proprietor?
No
Enumeration Date
09-22-2005
Last Update Date
02-12-2009
Code Navigator

A dentist like Robert Peters 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
38732
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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
05D0936144
Facility Type
Physician Office
Certificate Effective Date
February 16, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
CHRISTOPHER S. CARLIN MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Robert Peters after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1629064829, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 2 → 4 0 → 0 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 6 + 8 + 8 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629064829.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629064829, enumerated as an "individual" on September 22, 2005.

The provider is located at NAVY MEDICINE SUPPORT COMMAND/MEDICAL STAFF SERVICES BLDG H 2005 KNIGHT LANE JACKSONVILLE, FL 32212 and the phone number is (760) 725-5102.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.