BLACK CANYON CITY DENTISTRY LLC
NPI 1639380363
Dentist in Black Canyon City, AZ

NPI Status: Active since May 24, 2007

Contact Information

34501 S OLD BLACK CANYON CITY HIGHWAY
SUITE 5
BLACK CANYON CITY, AZ
ZIP 85324
Phone: (623) 374-0855
Fax: (623) 374-0854

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  • Organization
  • Dentist
  • Accepts Insurance

About BLACK CANYON CITY DENTISTRY LLC

This page provides the complete NPI Profile along with additional information for Black Canyon City Dentistry Llc, a provider established in Black Canyon City, Arizona operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1639380363 assigned on May 2007. The practitioner's primary taxonomy code is 122300000X with license number 05797 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. Black Canyon City Dentistry Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Eldon W Jenkins (Owner)

NPI
1639380363
Provider Name
BLACK CANYON CITY DENTISTRY LLC
Entity Type
Organization
Location Address
34501 S OLD BLACK CANYON CITY HIGHWAY SUITE 5 BLACK CANYON CITY, AZ 85324
Location Phone
(623) 374-0855
Location Fax
(623) 374-0854
Mailing Address
PO BOX #7 BLACK CANYON CITY, AZ 85324
Mailing Phone
(623) 374-0855
Mailing Fax
(623) 374-0854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Black Canyon City Dentistry Llc 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
License No.
05797
License State
AZ
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. ELDON W JENKINS

Authorized Official Title
OWNER
Authorized Official Phone
(623) 374-0855

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639380363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669680312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 8 + 0 + 3 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639380363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639380363, enumerated as an "organization" on May 24, 2007.

The provider is located at 34501 S OLD BLACK CANYON CITY HIGHWAY SUITE 5 BLACK CANYON CITY, AZ 85324 and the phone number is (623) 374-0855.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.