MEBANE PEDIATRIC DENTISTRY
NPI 1780072181
Dentist - Pediatric Dentistry in Mebane, NC

NPI Status: Active since January 07, 2015

Contact Information

1107 S FIFTH ST
SUITE 100
MEBANE, NC
ZIP 27302
Phone: (919) 332-2840

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 34D0895573
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-08-2026

About MEBANE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Mebane Pediatric Dentistry, a provider established in Mebane, North Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1780072181 assigned on January 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 8634 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Mebane Pediatric Dentistry. The authorized official of this NPI record is Dr. Jina Kang Yoo D.m.d, M.s. (Ceo And Pediatric Dentist)

NPI
1780072181
Provider Legal Name
JINA K. YOO, DMD, MS, PC
Other Organization Name
MEBANE PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1107 S FIFTH ST SUITE 100 MEBANE, NC 27302
Location Phone
(919) 332-2840
Mailing Address
1107 S FIFTH ST SUITE 100 MEBANE, NC 27302
Mailing Phone
(919) 568-0103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2015
Last Update Date
04-27-2015
Code Navigator

A dentist like Mebane Pediatric Dentistry 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
8634
License State
NC
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. JINA KANG YOO D.M.D, M.S.

Authorized Official Title
CEO AND PEDIATRIC DENTIST
Authorized Official Phone
(919) 568-0103

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
34D0895573
Facility Type
Physician Office
Certificate Effective Date
November 09, 2024
Certificate Expiration Date
November 08, 2026
Laboratory Director
MS. DONNA WALKER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mebane Pediatric Dentistry on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1780072181, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 0 + 7 + 4 + 1 + 1 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1780072181.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
1107 S FIFTH ST, SUITE 200
MEBANE, NC 27302
Dentist (Pediatric Dentistry)
1107 S FIFTH ST, SUITE 100
MEBANE, NC 27302
Dentist (Oral and Maxillofacial Surgery)
1107 S FIFTH ST, SUITE 250
MEBANE, NC 27302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780072181, enumerated as an "organization" on January 07, 2015.

The provider is located at 1107 S FIFTH ST SUITE 100 MEBANE, NC 27302 and the phone number is (919) 332-2840.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.