SURFSIDE DENTAL CENTER, PA.
NPI 1740614775
Preferred Provider Organization in Neptune Beach, FL

NPI Status: Active since August 27, 2013

Contact Information

630-7 ATLANTIC BLVD.
NEPTUNE BEACH, FL
ZIP 32266
Phone: (904) 247-2626
Fax: (904) 247-2291

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  • Preferred Provider Organization

About SURFSIDE DENTAL CENTER, PA.

This page provides the complete NPI Profile along with additional information for Surfside Dental Center, Pa., a provider established in Neptune Beach, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1740614775 assigned on August 2013. The practitioner's primary taxonomy code is 305R00000X with license number DN15716 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Crystal L Less (Vp Of Operations)

NPI
1740614775
Provider Name
SURFSIDE DENTAL CENTER, PA.
Entity Type
Organization
Location Address
630-7 ATLANTIC BLVD. NEPTUNE BEACH, FL 32266
Location Phone
(904) 247-2626
Location Fax
(904) 247-2291
Mailing Address
3545-1 ST. JOHNS BLUFF RD. S. SUITE 352 JACKSONVILLE, FL 32224
Mailing Phone
(904) 998-7000
Mailing Fax
(904) 247-2291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2013
Last Update Date
01-23-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
DN15716
License State
FL
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1305S00000XManaged Care Organizations

Point of Service

DN15716 (FL)

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

CRYSTAL L LESS

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(904) 998-7000

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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 1740614775, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 4 → 8 6 → 12 → 3 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 1 + 8 + 7 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1740614775.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740614775, enumerated as an "organization" on August 27, 2013.

The provider is located at 630-7 ATLANTIC BLVD. NEPTUNE BEACH, FL 32266 and the phone number is (904) 247-2626.

Preferred Provider Organization with taxonomy code 305R00000X.