WESTON PEDIATRIC DENTAL PC
NPI 1790093490
Dentist - Pediatric Dentistry in Weston, MA
NPI Status: Active since September 16, 2010
Contact Information
450 BOSTON POST RD
WESTON, MA
ZIP 02493
Phone: (781) 893-3003
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 22D0875173
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-06-2026
About WESTON PEDIATRIC DENTAL PC
This page provides the complete NPI Profile along with additional information for Weston Pediatric Dental Pc, a provider established in Weston, Massachusetts operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1790093490 assigned on September 2010. The practitioner's primary taxonomy code is 1223P0221X with license number 20782 (MA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Weston Pediatric Dental Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Reem Antun Lago Dmd (Dentist/owner)
- NPI
- 1790093490
- Provider Name
- WESTON PEDIATRIC DENTAL PC
- Entity Type
- Organization
- Location Address
- 450 BOSTON POST RD WESTON, MA 02493
- Location Phone
- (781) 893-3003
- Mailing Address
- 450 BOSTON POST RD WESTON, MA 02493
- Mailing Phone
- (781) 893-3003
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2010
- Last Update Date
- 09-16-2010
- Code Navigator
A dentist like Weston Pediatric Dental Pc 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.
- 20782
- License State
- MA
- 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.
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) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | (MA) |
| 2 | 1223P0221X | Dental Providers | Dentist | 18840 (MA) |
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.
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
- 22D0875173
- Facility Type
- Physician Office
- Certificate Effective Date
- October 07, 2024
- Certificate Expiration Date
- October 06, 2026
- Laboratory Director
- ROBERT ANDLER MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Weston Pediatric Dental Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1790093490, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790093490, enumerated as an "organization" on September 16, 2010.
The provider is located at 450 BOSTON POST RD WESTON, MA 02493 and the phone number is (781) 893-3003.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
