BURTENSHAW CRAIG A & G STALEY GPS
NPI 1679745269
Dentist in Idaho Falls, ID

NPI Status: Active since March 24, 2008

Contact Information

200 N WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 529-0120

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  • Organization
  • Dentist
  • Accepts Insurance

About BURTENSHAW CRAIG A & G STALEY GPS

This page provides the complete NPI Profile along with additional information for Burtenshaw Craig A & G Staley Gps, a provider established in Idaho Falls, Idaho operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1679745269 assigned on March 2008. The practitioner's primary taxonomy code is 122300000X with license number D3064 (ID). The provider is registered as an organization and their NPI record was last updated 18 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 Burtenshaw Craig A & G Staley Gps. The authorized official of this NPI record is Dr. Galen Jay Staley Dds (Partner)

NPI
1679745269
Provider Legal Name
FAMLIY DENTAL HEALTH CENTER
Other Organization Name
BURTENSHAW CRAIG A & G STALEY GPS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 N WOODRUFF AVE IDAHO FALLS, ID 83401
Location Phone
(208) 529-0120
Mailing Address
200 N WOODRUFF AVE IDAHO FALLS, ID 83401
Mailing Phone
(208) 529-0120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2008
Last Update Date
06-19-2008
Code Navigator

A dentist like Burtenshaw Craig A & G Staley Gps 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.
D3064
License State
ID
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.

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)
1122300000XDental Providers

Dentist

D1628 (ID)
2122300000XDental Providers

Dentist

D3614 (ID)
3122300000XDental Providers

Dentist

D3038 (ID)

Group Taxonomy 193400000X MULTIPLE 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.

Insurance Plans Accepted

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

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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.

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

DR. GALEN JAY STALEY DDS

Authorized Official Title
PARTNER
Authorized Official Phone
(208) 529-0120

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
806939100MEDICAID (05)ID 
806335900MEDICAID (05)ID 
00274600MEDICAID (05)ID 
02740700MEDICAID (05)ID 

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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 1679745269, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1 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 + 1 + 4 + 9 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1679745269.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist (General Practice)
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401
Dentist (General Practice)
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679745269, enumerated as an "organization" on March 24, 2008.

The provider is located at 200 N WOODRUFF AVE IDAHO FALLS, ID 83401 and the phone number is (208) 529-0120.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.