ELKO-NEW MARKET DENTAL CLINIC
NPI 1720199953
Dentist - General Practice in Lakeville, MN

NPI Status: Active since August 31, 2006

Contact Information

9202 202ND ST W
SUITE 201
LAKEVILLE, MN
ZIP 55044
Phone: (952) 469-2818
Fax: (952) 469-2566

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About ELKO-NEW MARKET DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Elko-new Market Dental Clinic, a provider established in Lakeville, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720199953 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number D10525 (MN). The provider is registered as an organization and their NPI record was last updated 6 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 Elko-new Market Dental Clinic. The authorized official of this NPI record is Dr. Steven Blaine Petersen D.d.s. (Owner)

NPI
1720199953
Provider Legal Name
PETERSEN FAMILY DENTAL CLINIC PA
Other Organization Name
ELKO-NEW MARKET DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9202 202ND ST W SUITE 201 LAKEVILLE, MN 55044
Location Phone
(952) 469-2818
Location Fax
(952) 469-2566
Mailing Address
9202 202ND ST W SUITE 201 LAKEVILLE, MN 55044
Mailing Phone
(952) 469-2818
Mailing Fax
(952) 469-2566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Elko-new Market 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
D10525
License State
MN
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.

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

*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. STEVEN BLAINE PETERSEN D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(952) 469-2818

Reviews for ELKO-NEW MARKET DENTAL CLINIC

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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 1720199953, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 2 → 4 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 9 + 1 + 8 + 9 + 1 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720199953.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Chiropractor (Sports Physician)
9202 202ND ST W, SUITE 203
LAKEVILLE, MN 55044
Dentist (Endodontics)
9202 202ND ST W, SUITE 202
LAKEVILLE, MN 55044
Dentist (General Practice)
9202 202ND ST W, SUITE 201
LAKEVILLE, MN 55044
Chiropractor
9202 202ND ST W, SUITE 203
LAKEVILLE, MN 55044
Chiropractor
9202 202ND ST W, STE 203
LAKEVILLE, MN 55044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720199953, enumerated as an "organization" on August 31, 2006.

The provider is located at 9202 202ND ST W SUITE 201 LAKEVILLE, MN 55044 and the phone number is (952) 469-2818.

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

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