JOHNSON CREEK DENTAL OFFICE
NPI 1629699863
Dentist in Happy Valley, OR

NPI Status: Active since April 28, 2020

Contact Information

9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR
ZIP 97086
Phone: (800) 813-2000

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  • Organization
  • Dentist

About JOHNSON CREEK DENTAL OFFICE

This page provides the complete NPI Profile along with additional information for Johnson Creek Dental Office, a provider established in Happy Valley, Oregon operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1629699863 assigned on April 2020. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Johnson Creek Dental Office operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Johnson Creek Dental Office. The authorized official of this NPI record is Stephen Shawn Barton (Executive Director, Revenue Cycle)

NPI
1629699863
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name
JOHNSON CREEK DENTAL OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9300 SE 91ST AVE STE 310 HAPPY VALLEY, OR 97086
Location Phone
(800) 813-2000
Mailing Address
500 NE MULTNOMAH ST PORTLAND, OR 97232
Mailing Phone
(800) 813-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-28-2020
Last Update Date
06-01-2021
Code Navigator

A dentist like Johnson Creek Dental Office 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

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

STEPHEN SHAWN BARTON

Authorized Official Title
EXECUTIVE DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(503) 813-2440

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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 1629699863, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3

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 + 2 + 9 + 1 + 8 + 8 + 1 + 2 + 24 = 77

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.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1629699863.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dental Assistant
9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
Dental Assistant
9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
Dental Assistant
9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
Dental Hygienist
9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086
Dentist (General Practice)
9300 SE 91ST AVE STE 310
HAPPY VALLEY, OR 97086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629699863, enumerated as an "organization" on April 28, 2020.

The provider is located at 9300 SE 91ST AVE STE 310 HAPPY VALLEY, OR 97086 and the phone number is (800) 813-2000.

Dentist with taxonomy code 122300000X.