TEMPLE UNIVERSITY
NPI 1720526130
Dentist - Periodontics in Philadelphia, PA

NPI Status: Active since February 06, 2017

Contact Information

3223 N BROAD ST
DEPT OF PERIODONTOLOGY
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-5774

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  • Organization
  • Dentist
  • Periodontics
  • CLIA Number: 39D2214224
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-19-2027

About TEMPLE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Temple University, a provider established in Philadelphia, Pennsylvania operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1720526130 assigned on February 2017. The practitioner's primary taxonomy code is 1223P0300X with license number 0401414955 (VA). The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Dr. Keisuke Wada Dmd (Director Chair Of Periodontology)

NPI
1720526130
Provider Name
TEMPLE UNIVERSITY
Entity Type
Organization
Location Address
3223 N BROAD ST DEPT OF PERIODONTOLOGY PHILADELPHIA, PA 19140
Location Phone
(215) 707-5774
Mailing Address
3223 N BROAD ST PHILADELPHIA, PA 19140
Mailing Phone
(215) 707-5774
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2017
Last Update Date
02-06-2017
Code Navigator

A dentist like Temple University 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
0401414955
License State
VA
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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.

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. KEISUKE WADA DMD

Authorized Official Title
DIRECTOR CHAIR OF PERIODONTOLOGY
Authorized Official Phone
(215) 707-7667

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
39D2214224
Facility Type
Physician Office
Certificate Effective Date
February 20, 2025
Certificate Expiration Date
February 19, 2027
Laboratory Director
DR. MARYANN P. HARTZELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Temple University to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TEMPLE UNIVERSITY

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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 1720526130, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 5 → 10 → 1 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 0 + 2 + 1 + 2 + 1 + 6 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720526130.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST, KORNBERG SCHOOL OF DENTISTRY
PHILADELPHIA, PA 19140
Dentist (Pediatric Dentistry)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST, OMPMS
PHILADELPHIA, PA 19140
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST, TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY
PHILADELPHIA, PA 19140
Dentist (Oral and Maxillofacial Pathology)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST, 1C03
PHILADELPHIA, PA 19140
Dentist (Endodontics)
3223 N BROAD ST, DEPARTMENT OF ENDODONTICS
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST, TEMPLE DENTAL SCHOOL, RESTORATIVE DEPT.
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (Endodontics)
3223 N BROAD ST, KORNBERG SCHOOL OF DENTISTRY
PHILADELPHIA, PA 19140
Dentist (Endodontics)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST, KORNBERG SCHOOL OF DENTISTRY, DEPARTMENT OF RESTORATIVE
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST, DEPT. RESTORATIVE DENTISTRY
PHILADELPHIA, PA 19140
Dentist (Periodontics)
3223 N BROAD ST, 336
PHILADELPHIA, PA 19140
Dentist (Endodontics)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST, TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY
PHILADELPHIA, PA 19140
Dentist (Endodontics)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720526130, enumerated as an "organization" on February 06, 2017.

The provider is located at 3223 N BROAD ST DEPT OF PERIODONTOLOGY PHILADELPHIA, PA 19140 and the phone number is (215) 707-5774.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.