ENDURADENT PLLC
NPI 1720656598
Clinic/Center - Dental in Driggs, ID

NPI Status: Active since June 16, 2021

Contact Information

33 EAST HARPER AVE
DRIGGS, ID
ZIP 83422
Phone: (208) 521-7888

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  • Organization
  • Clinic/Center
  • Dental

About ENDURADENT PLLC

This page provides the complete NPI Profile along with additional information for Enduradent Pllc, a provider established in Driggs, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720656598 assigned on June 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Jacob A Tall Dmd (General Dentist)

NPI
1720656598
Provider Name
ENDURADENT PLLC
Entity Type
Organization
Location Address
33 EAST HARPER AVE DRIGGS, ID 83422
Location Phone
(208) 521-7888
Mailing Address
1805 EAGLES HOMESTEAD DR AMMON, ID 83406
Mailing Phone
(208) 521-7888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2021
Last Update Date
06-16-2021
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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

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. JACOB A TALL DMD

Authorized Official Title
GENERAL DENTIST
Authorized Official Phone
(208) 521-7888

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720656598
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274012512518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 2 + 5 + 1 + 2 + 5 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1720656598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720656598, enumerated as an "organization" on June 16, 2021.

The provider is located at 33 EAST HARPER AVE DRIGGS, ID 83422 and the phone number is (208) 521-7888.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.