TOTAL CARE DENTAL-BRIDGETON
NPI 1649693144
Dentist - General Practice in Bridgeton, MO

NPI Status: Active since February 04, 2014

Contact Information

12758 BOENKER LN
BRIDGETON, MO
ZIP 63044
Phone: (314) 739-3300
Fax: (314) 739-0005

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 26D2226037
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-25-2027

About TOTAL CARE DENTAL-BRIDGETON

This page provides the complete NPI Profile along with additional information for Total Care Dental-bridgeton, a provider established in Bridgeton, Missouri operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1649693144 assigned on February 2014. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Total Care Dental-bridgeton. The authorized official of this NPI record is Kendra Walker (Credentialing Team Lead)

NPI
1649693144
Provider Legal Name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other Organization Name
TOTAL CARE DENTAL-BRIDGETON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12758 BOENKER LN BRIDGETON, MO 63044
Location Phone
(314) 739-3300
Location Fax
(314) 739-0005
Mailing Address
12758 BOENKER LANE BRIDGETON, MO 63044
Mailing Phone
(314) 739-3300
Mailing Fax
(314) 739-0005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-04-2014
Last Update Date
04-25-2018
Code Navigator

A dentist like Total Care Dental-bridgeton 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

KENDRA WALKER

Authorized Official Title
CREDENTIALING TEAM LEAD
Authorized Official Phone
(217) 540-8513

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
26D2226037
Facility Type
Pharmacy
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
KATIE SUAREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Total Care Dental-bridgeton 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 1649693144, 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
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
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 4 → 8 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 2 + 9 + 6 + 1 + 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 1649693144.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (Periodontics)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (Periodontics)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist
12758 BOENKER LN
BRIDGETON, MO 63044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649693144, enumerated as an "organization" on February 04, 2014.

The provider is located at 12758 BOENKER LN BRIDGETON, MO 63044 and the phone number is (314) 739-3300.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.