LAKESIDE FAMILY DENTISTRY
NPI 1790146587
Clinic/Center - Dental in Long Lake, MN

NPI Status: Active since March 08, 2016

Contact Information

1880 W WAYZATA BLVD
LONG LAKE, MN
ZIP 55356
Phone: (952) 475-0989
Fax: (952) 475-2053

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About LAKESIDE FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Lakeside Family Dentistry, a provider established in Long Lake, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1790146587 assigned on March 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Lakeside Family Dentistry. The authorized official of this NPI record is Mr. Michael E. Giebenhain D.d.s. (Owner)

NPI
1790146587
Provider Legal Name
WATER'S EDGE DENTAL
Other Organization Name
LAKESIDE FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1880 W WAYZATA BLVD LONG LAKE, MN 55356
Location Phone
(952) 475-0989
Location Fax
(952) 475-2053
Mailing Address
1880 W WAYZATA BLVD P.O.BOX 128 LONG LAKE, MN 55356
Mailing Phone
(952) 475-0989
Mailing Fax
(952) 475-2053
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2016
Last Update Date
03-08-2016
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. MICHAEL E. GIEBENHAIN D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(952) 475-0989

Reviews for LAKESIDE FAMILY DENTISTRY

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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 1790146587, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 9 → 18 → 9 1 → 2 6 → 12 → 3 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 + 8 + 0 + 2 + 4 + 1 + 2 + 5 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1790146587.

Other Providers at the Same Location


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

Dentist (General Practice)
1880 W WAYZATA BLVD
LONG LAKE, MN 55356
Dentist
1880 W WAYZATA BLVD
LONG LAKE, MN 55356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790146587, enumerated as an "organization" on March 08, 2016.

The provider is located at 1880 W WAYZATA BLVD LONG LAKE, MN 55356 and the phone number is (952) 475-0989.

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

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.