CHILDREN'S DENTAL FOUNDATION
NPI 1760517213
Dentist - Oral and Maxillofacial Surgery in Long Beach, CA

NPI Status: Active since February 23, 2007

Contact Information

455 E COLUMBIA ST
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-3141
Fax: (562) 933-2049

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 05D0707690
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-31-2026

About CHILDREN'S DENTAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Children's Dental Foundation, a provider established in Long Beach, California operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1760517213 assigned on February 2007. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated one year ago. Children's Dental Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. John Blake D.d.s. (Dental Director)

NPI
1760517213
Provider Legal Name
CHILDREN'S DENTAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
455 E COLUMBIA ST LONG BEACH, CA 90806
Location Phone
(562) 933-3141
Location Fax
(562) 933-2049
Mailing Address
455 E COLUMBIA ST LONG BEACH, CA 90806
Mailing Phone
(562) 933-3141
Mailing Fax
(562) 933-2049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
09-11-2025
Code Navigator

A dentist like Children's Dental Foundation 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 Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License State
CA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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)
11223E0200XDental Providers

Dentist
Endodontics

(CA)
21223G0001XDental Providers

Dentist
General Practice

(CA)
31223P0221XDental Providers

Dentist
Pediatric Dentistry

(CA)
41223P0300XDental Providers

Dentist
Periodontics

(CA)
51223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

(CA)
6124Q00000XDental Providers

Dental Hygienist

(CA)
7126800000XDental Providers

Dental Assistant

(CA)

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.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. JOHN BLAKE D.D.S.

Authorized Official Title
DENTAL DIRECTOR
Authorized Official Phone
(562) 933-3141

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G90360-01OTHER (01)CADENTI-CAL PROVIDER NUMBER

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
05D0707690
Facility Type
Federally Qualified Health Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MARIA CHANDLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Children's Dental Foundation 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 CHILDREN'S DENTAL FOUNDATION

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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 1760517213, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 5 → 10 → 1 7 → 14 → 5 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 + 1 + 0 + 1 + 1 + 4 + 2 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760517213.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
455 E COLUMBIA ST
LONG BEACH, CA 90806
Dentist
455 E COLUMBIA ST
LONG BEACH, CA 90806
Family Medicine
455 E COLUMBIA ST, # 201
LONG BEACH, CA 90806
Family Medicine
455 E COLUMBIA ST, SUITE 201 & 6
LONG BEACH, CA 90806
Specialist
455 E COLUMBIA ST, SUITE 201
LONG BEACH, CA 90806
Dentist (Orthodontics and Dentofacial Orthopedics)
455 E COLUMBIA ST
LONG BEACH, CA 90806
Community Health Worker
455 E COLUMBIA ST, 201 & 6
LONG BEACH, CA 90806
Rehabilitation Practitioner
455 E COLUMBIA ST, SUITES 201 & 6
LONG BEACH, CA 90806
Dental Assistant
455 E COLUMBIA ST, SUITE 32
LONG BEACH, CA 90806
Dental Assistant
455 E COLUMBIA ST, SUITE 32
LONG BEACH, CA 90806
Dentist
455 E COLUMBIA ST, SUITE 32
LONG BEACH, CA 90806
Pediatrics
455 E COLUMBIA ST, SUITE 210
LONG BEACH, CA 90806
Family Medicine (Adult Medicine)
455 E COLUMBIA ST, SUITE 201-206
LONG BEACH, CA 90806
Pediatrics
455 E COLUMBIA ST, SUITE 201
LONG BEACH, CA 90806
Nurse Practitioner (Family)
455 E COLUMBIA ST
LONG BEACH, CA 90806
Clinic/Center (Community Health)
455 E COLUMBIA ST, SUITE 201
LONG BEACH, CA 90806
Dentist (Pediatric Dentistry)
455 E COLUMBIA ST
LONG BEACH, CA 90806
Dentist (Pediatric Dentistry)
455 E COLUMBIA ST
LONG BEACH, CA 90806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760517213, enumerated as an "organization" on February 23, 2007.

The provider is located at 455 E COLUMBIA ST LONG BEACH, CA 90806 and the phone number is (562) 933-3141.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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