MIZUNO FAMILY DENTISTRY PLLC
NPI 1780188672
Clinic/Center - Dental in Allen, TX

NPI Status: Active since March 23, 2018

Contact Information

915 W EXCHANGE PKWY STE 170
ALLEN, TX
ZIP 75013
Phone: (972) 424-3064

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  • Organization
  • Clinic/Center
  • Dental

About MIZUNO FAMILY DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for Mizuno Family Dentistry Pllc, a provider established in Allen, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1780188672 assigned on March 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 22692 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Daigo Mizuno (Manager)

NPI
1780188672
Provider Name
MIZUNO FAMILY DENTISTRY PLLC
Entity Type
Organization
Location Address
915 W EXCHANGE PKWY STE 170 ALLEN, TX 75013
Location Phone
(972) 424-3064
Mailing Address
915 W EXCHANGE PKWY STE 170 ALLEN, TX 75013
Mailing Phone
(972) 424-3064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2018
Last Update Date
02-13-2025
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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
License No.
22692
License State
TX

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

DAIGO MIZUNO

Authorized Official Title
MANAGER
Authorized Official Phone
(972) 424-3064

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780188672
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271602816614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 2 + 8 + 1 + 6 + 6 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1780188672 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

AFTER HOURS DENTISTRY, PLLC

Dentist

(General Practice)

915 W EXCHANGE PKWY STE 170
ALLEN, TX
ZIP 75013

(469) 854-4333

DR. DAIGO MIZUNO D.D.S.

Dentist

(General Practice)

915 W EXCHANGE PKWY STE 170
ALLEN, TX
ZIP 75013

(972) 424-3064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780188672, enumerated as an "organization" on March 23, 2018.

The provider is located at 915 W EXCHANGE PKWY STE 170 ALLEN, TX 75013 and the phone number is (972) 424-3064.

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