ILLINOIS CHILDREN'S HEALTHCARE FOUNDATION DENTAL GRANT PROJECT
NPI 1720250939
Clinic/Center - Dental in Carbondale, IL
NPI Status: Active since March 27, 2008
Contact Information
1365 DOUGLAS DR
COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH
CARBONDALE, IL
ZIP 62901
Phone: (618) 453-7241
Fax: (618) 453-7020
NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- Dental
- CLIA Number: 14D0647032
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 03-07-2027
About ILLINOIS CHILDREN'S HEALTHCARE FOUNDATION DENTAL GRANT PROJECT
This page provides the complete NPI Profile along with additional information for Illinois Children's Healthcare Foundation Dental Grant Project, a provider established in Carbondale, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720250939 assigned on March 2008. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Illinois Children's Healthcare Foundation Dental Grant Project. The authorized official of this NPI record is Mrs. Ronda Demattei Rdh, Phd (Assoc. Prof./dental Hygiene Program)
- NPI
- 1720250939
- Provider Legal Name
- SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
- Other Organization Name
- ILLINOIS CHILDREN'S HEALTHCARE FOUNDATION DENTAL GRANT PROJECT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1365 DOUGLAS DR COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH CARBONDALE, IL 62901
- Location Phone
- (618) 453-7241
- Location Fax
- (618) 453-7020
- Mailing Address
- 1365 DOUGLAS DR COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH CARBONDALE, IL 62901
- Mailing Phone
- (618) 453-7241
- Mailing Fax
- (618) 453-7020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2008
- Last Update Date
- 03-27-2008
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License State
- IL
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
- 14D0647032
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- MUHAMMAD AMJAD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Illinois Children's Healthcare Foundation Dental Grant Project after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1720250939, 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.
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720250939, enumerated as an "organization" on March 27, 2008.
The provider is located at 1365 DOUGLAS DR COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH CARBONDALE, IL 62901 and the phone number is (618) 453-7241.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
