LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP
NPI 1639576697
Dentist in Medina, NY
NPI Status: Active since November 19, 2014
Contact Information
610 PARK AVE
MEDINA, NY
ZIP 14103
Phone: (585) 798-0100
Fax: (585) 798-3297
- Organization
- Dentist
- CLIA Number: 33D2209948
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-18-2025
About LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Lockport Dental Group Pc D/b/s Medina Dental Group, a provider established in Medina, New York operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1639576697 assigned on November 2014. The practitioner's primary taxonomy code is 122300000X with license number 32240 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. Lockport Dental Group Pc D/b/s Medina Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lockport Dental Group Pc D/b/s Medina Dental Group. The authorized official of this NPI record is Dr. Jonathan Barry Stockton D.d.s. (Owner/dentist)
- NPI
- 1639576697
- Provider Legal Name
- MEDINA DENTAL PLLC
- Other Organization Name
- LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 610 PARK AVE MEDINA, NY 14103
- Location Phone
- (585) 798-0100
- Location Fax
- (585) 798-3297
- Mailing Address
- 610 PARK AVE MEDINA, NY 14103
- Mailing Phone
- (585) 798-0100
- Mailing Fax
- (585) 798-3297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2014
- Last Update Date
- 11-16-2022
- Code Navigator
A dentist like Lockport Dental Group Pc D/b/s Medina Dental Group 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.
- 32240
- License State
- NY
- 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497830483 | MEDICAID (05) | NY |
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
- 33D2209948
- Facility Type
- Physician Office
- Certificate Effective Date
- January 19, 2023
- Certificate Expiration Date
- January 18, 2025
- Laboratory Director
- DR. JOHNATHAN B. STOCKTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lockport Dental Group Pc D/b/s Medina Dental Group 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.
Reviews for LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP
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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. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 7 | 6 | 6 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 7 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 7 + 1 + 2 + 6 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1639576697 is valid because the calculated check digit 7 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 1639576697, enumerated as an "organization" on November 19, 2014.
The provider is located at 610 PARK AVE MEDINA, NY 14103 and the phone number is (585) 798-0100.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
