ECU PEDIATRIC DENTAL CLINIC
NPI 1659536522
Dentist - Pediatric Dentistry in Greenville, NC
NPI Status: Active since July 21, 2008
Contact Information
2150 HERBERT CT
GREENVILLE, NC
ZIP 27834
Phone: (252) 744-3258
Fax: (252) 744-3194
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 34D1032539
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 07-21-2027
About ECU PEDIATRIC DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Ecu Pediatric Dental Clinic, a provider established in Greenville, North Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1659536522 assigned on July 2008. The practitioner's primary taxonomy code is 1223P0221X with license number 0066 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. Ecu Pediatric Dental Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Nicholas Benson M.d. (Vice Dean)
- NPI
- 1659536522
- Provider Name
- ECU PEDIATRIC DENTAL CLINIC
- Entity Type
- Organization
- Location Address
- 2150 HERBERT CT GREENVILLE, NC 27834
- Location Phone
- (252) 744-3258
- Location Fax
- (252) 744-3194
- Mailing Address
- PO BOX 751069 CHARLOTTE, NC 28275
- Mailing Phone
- (252) 744-3520
- Mailing Fax
- (252) 744-3194
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-21-2008
- Last Update Date
- 01-16-2009
- Code Navigator
A dentist like Ecu Pediatric Dental Clinic 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 0066
- License State
- NC
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 0066 (NC) |
| 2 | 1223P0300X | Dental Providers | Dentist | 0066 (NC) |
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.
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
- 34D1032539
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- July 22, 2025
- Certificate Expiration Date
- July 21, 2027
- Laboratory Director
- SHAUNDREAL D. JAMISON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ecu Pediatric Dental Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1659536522, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659536522, enumerated as an "organization" on July 21, 2008.
The provider is located at 2150 HERBERT CT GREENVILLE, NC 27834 and the phone number is (252) 744-3258.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
