FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
NPI 1730434622
Dentist - General Practice in Irvine, CA
NPI Status: Active since July 17, 2012
Contact Information
2860 MICHELLE DRIVE 2ND FLOOR
IRVINE, CA
ZIP 92606
Phone: (714) 368-2077
Fax: (714) 368-2092
- Organization
- Dentist
- General Practice
- CLIA Number: 06D2144174
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-11-2028
About FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
This page provides the complete NPI Profile along with additional information for Fountain Modern Dentistry And Orthodontics, a provider established in Irvine, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1730434622 assigned on July 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 9356 (CO). The provider is registered as an organization and their NPI record was last updated 14 years ago. Fountain Modern Dentistry And Orthodontics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fountain Modern Dentistry And Orthodontics. The authorized official of this NPI record is Charles Rodgers (Dds/ Owner)
- NPI
- 1730434622
- Provider Legal Name
- FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS, LLP
- Other Organization Name
- FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2860 MICHELLE DRIVE 2ND FLOOR IRVINE, CA 92606
- Location Phone
- (714) 368-2077
- Location Fax
- (714) 368-2092
- Mailing Address
- 6940 MESA RIDGE PARKWAY FOUNTAIN, CO 80817
- Mailing Phone
- (719) 382-4936
- Mailing Fax
- (714) 368-2092
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2012
- Last Update Date
- 07-17-2012
- Code Navigator
A dentist like Fountain Modern Dentistry And Orthodontics 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.
- 9356
- License State
- CO
- 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 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 06D2144174
- Facility Type
- Physician Office
- Certificate Effective Date
- February 12, 2026
- Certificate Expiration Date
- February 11, 2028
- Laboratory Director
- DR. SCOTT CAIMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fountain Modern Dentistry And Orthodontics 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.
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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 1730434622, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730434622, enumerated as an "organization" on July 17, 2012.
The provider is located at 2860 MICHELLE DRIVE 2ND FLOOR IRVINE, CA 92606 and the phone number is (714) 368-2077.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
