CARLY RENE' CLARK RDH, EP
NPI 1760827356
Advanced Practice Dental Therapist in Portland, OR

NPI Status: Active since May 08, 2013

Contact Information

3324 N ARLINGTON PL
PORTLAND, OR
ZIP 97217
Phone: (503) 887-5923

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  • Individual
  • Female
  • Advanced Practice Dental Therapist

About CARLY CLARK

This page provides the complete NPI Profile along with additional information for Carly Clark, a provider established in Portland, Oregon with a medical specialization in Advanced Practice Dental Therapist. The healthcare provider is registered in the NPI registry with number 1760827356 assigned on May 2013. The practitioner's primary taxonomy code is 125K00000X with license number H5380 (OR). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1760827356
Provider Name
CARLY RENE' CLARK RDH, EP
Gender
Female
Entity Type
Individual
Location Address
3324 N ARLINGTON PL PORTLAND, OR 97217
Location Phone
(503) 887-5923
Mailing Address
3324 N ARLINGTON PL PORTLAND, OR 97217
Mailing Phone
(503) 887-5923
Is Sole Proprietor?
Yes
Enumeration Date
05-08-2013
Last Update Date
05-08-2013
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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

Advanced Practice Dental Therapist

Taxonomy Code
125K00000X
Type
Dental Providers
License No.
H5380
License State
OR
Taxonomy Description
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

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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 1760827356, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1

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 + 6 + 2 + 1 + 4 + 3 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760827356.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760827356, enumerated as an "individual" on May 08, 2013.

The provider is located at 3324 N ARLINGTON PL PORTLAND, OR 97217 and the phone number is (503) 887-5923.

Advanced Practice Dental Therapist with taxonomy code 125K00000X.