KIDS DENTAL CENTER
NPI 1811449671
Clinic/Center - Dental in Chandler, AZ

NPI Status: Active since October 27, 2016

Contact Information

2900 W RAY RD STE 2
CHANDLER, AZ
ZIP 85224
Phone: (480) 782-5437
Fax: (480) 857-7888

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About KIDS DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Kids Dental Center, a provider established in Chandler, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1811449671 assigned on October 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Kids Dental Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 Kids Dental Center. The authorized official of this NPI record is Jeramy Tarwater (President)

NPI
1811449671
Provider Legal Name
PDA HOLDCO CHANDLER LLC
Other Organization Name
KIDS DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2900 W RAY RD STE 2 CHANDLER, AZ 85224
Location Phone
(480) 782-5437
Location Fax
(480) 857-7888
Mailing Address
2900 W RAY RD STE 2 CHANDLER, AZ 85224
Mailing Phone
(480) 782-5437
Mailing Fax
(480) 857-7888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2016
Last Update Date
02-07-2023
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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

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)
1122300000XDental Providers

Dentist

8502 (AZ)
21223P0221XDental Providers

Dentist
Pediatric Dentistry

 

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.

Insurance Plans Accepted

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

  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

JERAMY TARWATER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 253-6600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
226988MEDICAID (05)AZ 

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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 1811449671, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 8 + 4 + 1 + 8 + 6 + 1 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1811449671.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811449671, enumerated as an "organization" on October 27, 2016.

The provider is located at 2900 W RAY RD STE 2 CHANDLER, AZ 85224 and the phone number is (480) 782-5437.

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

The provider might be accepting Accepts: DentaQuest Insurance Company, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.