GERALD L IGNACE INDIAN DENTAL CENTER, LLC
NPI 1710498514
Dentist - General Practice in Milwaukee, WI
NPI Status: Active since October 19, 2017
Contact Information
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204
Phone: (414) 389-9526
Fax: (414) 649-2711
- Organization
- Dentist
- General Practice
- CLIA Number: 52D0390279
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-31-2026
About GERALD L IGNACE INDIAN DENTAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Gerald L Ignace Indian Dental Center, Llc, a provider established in Milwaukee, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1710498514 assigned on October 2017. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year 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
- NPI
- 1710498514
- Provider Legal Name
- GERALD L IGNACE INDIAN DENTAL CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204
- Location Phone
- (414) 389-9526
- Location Fax
- (414) 649-2711
- Mailing Address
- 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204
- Mailing Phone
- (414) 389-9526
- Mailing Fax
- (414) 649-2711
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2017
- Last Update Date
- 06-19-2025
- Code Navigator
A dentist like Gerald L Ignace Indian Dental Center, 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 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.
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
- 52D0390279
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. MUSTANSIR MAJEED
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Gerald L Ignace Indian Dental Center, Llc 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 1710498514, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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 66 is 70. 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.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710498514, enumerated as an "organization" on October 19, 2017.
The provider is located at 930 W HISTORIC MITCHELL ST MILWAUKEE, WI 53204 and the phone number is (414) 389-9526.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
