PRAIRIE LAKES FAMILY DENTISTRY
NPI 1780453589
Dentist - General Practice in Tracy, MN

NPI Status: Active since December 21, 2023

Contact Information

212 3RD ST
TRACY, MN
ZIP 56175
Phone: (507) 212-0002
Fax: (507) 212-0020

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  • Organization
  • Dentist
  • General Practice

About PRAIRIE LAKES FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Prairie Lakes Family Dentistry, a provider established in Tracy, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1780453589 assigned on December 2023. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jon Heezen Dds (Owner/dentist)

NPI
1780453589
Provider Name
PRAIRIE LAKES FAMILY DENTISTRY
Entity Type
Organization
Location Address
212 3RD ST TRACY, MN 56175
Location Phone
(507) 212-0002
Location Fax
(507) 212-0020
Mailing Address
PO BOX 1174 TRACY, MN 56175
Mailing Phone
(507) 212-0002
Mailing Fax
(507) 212-0020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2023
Last Update Date
12-21-2023
Code Navigator

A dentist like Prairie Lakes Family 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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

JON HEEZEN DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(507) 212-0002

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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.
1780453589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160856516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 6 + 5 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1780453589 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. JON ALLEN HEEZEN DDS

Student in an Organized Health Care Education/Training Program

212 3RD ST
TRACY, MN
ZIP 56175

(605) 530-5031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780453589, enumerated as an "organization" on December 21, 2023.

The provider is located at 212 3RD ST TRACY, MN 56175 and the phone number is (507) 212-0002.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.