WELLNESS DENTAL
NPI 1629443809
Clinic/Center - Dental in Chandler, AZ

NPI Status: Active since December 14, 2015

Contact Information

2900 W RAY RD
STE 3
CHANDLER, AZ
ZIP 85224
Phone: (574) 309-5860

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 03D0969565
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-18-2026

About WELLNESS DENTAL

This page provides the complete NPI Profile along with additional information for Wellness Dental, a provider established in Chandler, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1629443809 assigned on December 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 161222 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Wellness Dental. The authorized official of this NPI record is Mr. Michael Dhaenens (Managing Member)

NPI
1629443809
Provider Legal Name
HOOSIER DENTIST LLC
Other Organization Name
WELLNESS DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2900 W RAY RD STE 3 CHANDLER, AZ 85224
Location Phone
(574) 309-5860
Mailing Address
2900 W RAY RD STE 3 CHANDLER, AZ 85224
Mailing Phone
(574) 309-5860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2015
Last Update Date
12-14-2015
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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
License No.
161222
License State
AZ

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

MR. MICHAEL DHAENENS

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(574) 309-5860

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
03D0969565
Facility Type
Physician Office
Certificate Effective Date
January 19, 2024
Certificate Expiration Date
January 18, 2026
Laboratory Director
AMMAR ALSHEIKH, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellness Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1629443809, 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
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 4 → 8 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 8 + 4 + 6 + 8 + 0 + 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 1629443809.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Dental)
2900 W RAY RD, SUITE 3
CHANDLER, AZ 85224
Dentist (Pediatric Dentistry)
2900 W RAY RD, SUITE #2
CHANDLER, AZ 85224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629443809, enumerated as an "organization" on December 14, 2015.

The provider is located at 2900 W RAY RD STE 3 CHANDLER, AZ 85224 and the phone number is (574) 309-5860.

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