PARK CITY DENTAL SPA
NPI 1760144117
Clinic/Center - Dental in Park City, UT

NPI Status: Active since October 12, 2021

Contact Information

1526 UTE BLVD STE 212
PARK CITY, UT
ZIP 84098
Phone: (435) 615-8500
Fax: (435) 214-7246

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance
  • CLIA Number: 46D2238515
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-04-2025

About PARK CITY DENTAL SPA

This page provides the complete NPI Profile along with additional information for Park City Dental Spa, a provider established in Park City, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1760144117 assigned on October 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dawnetta Kay Abraham Rdh (Manager)

NPI
1760144117
Provider Name
PARK CITY DENTAL SPA
Entity Type
Organization
Location Address
1526 UTE BLVD STE 212 PARK CITY, UT 84098
Location Phone
(435) 615-8500
Location Fax
(435) 214-7246
Mailing Address
1526 UTE BLVD STE 212 PARK CITY, UT 84098
Mailing Phone
(435) 615-8500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2021
Last Update Date
10-12-2021
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAWNETTA KAY ABRAHAM RDH

Authorized Official Title
MANAGER
Authorized Official Phone
(435) 615-8500

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
46D2238515
Facility Type
School/Student Health Service
Certificate Effective Date
October 05, 2023
Certificate Expiration Date
October 04, 2025
Laboratory Director
IAN F. CROSSLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park City Dental Spa 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 1760144117, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 2 + 4 + 8 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1760144117.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1526 UTE BLVD STE 212
PARK CITY, UT 84098
Dentist
1526 UTE BLVD STE 212
PARK CITY, UT 84098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760144117, enumerated as an "organization" on October 12, 2021.

The provider is located at 1526 UTE BLVD STE 212 PARK CITY, UT 84098 and the phone number is (435) 615-8500.

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

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.