PARK DENTAL
NPI 1629589544
Clinic/Center - Dental in Big Lake, MN

NPI Status: Active since October 18, 2017

Contact Information

16991 198TH AVE NW
BIG LAKE, MN
ZIP 55309
Phone: (763) 263-6350
Fax: (763) 263-0136

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  • Organization
  • Clinic/Center
  • Dental

About PARK DENTAL

This page provides the complete NPI Profile along with additional information for Park Dental, a provider established in Big Lake, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1629589544 assigned on October 2017. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Park Dental. The authorized official of this NPI record is Shannon Hesse (Credentialing Specialist)

NPI
1629589544
Provider Legal Name
PDG, PA
Other Organization Name
PARK DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16991 198TH AVE NW BIG LAKE, MN 55309
Location Phone
(763) 263-6350
Location Fax
(763) 263-0136
Mailing Address
2200 COUNTY ROAD C W STE 2210 ROSEVILLE, MN 55113
Mailing Phone
(651) 746-2815
Mailing Fax
(763) 263-0136
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2017
Last Update Date
10-28-2020
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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

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

SHANNON HESSE

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(651) 746-2815

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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 1629589544, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 0 + 8 + 1 + 8 + 5 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1629589544.

Other Providers at the Same Location


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

Dentist
16991 198TH AVE NW
BIG LAKE, MN 55309
Dentist (General Practice)
16991 198TH AVE NW
BIG LAKE, MN 55309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629589544, enumerated as an "organization" on October 18, 2017.

The provider is located at 16991 198TH AVE NW BIG LAKE, MN 55309 and the phone number is (763) 263-6350.

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