NORTHWEST ORTHODONTICS, PLLC
NPI 1811648751
Dentist - Orthodontics and Dentofacial Orthopedics in Fayetteville, AR
NPI Status: Active since January 12, 2022
Contact Information
3119 E MISSION BLVD
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-4181
Fax: (479) 521-0442
- Organization
- Dentist
- Orthodontics and Dentofacial Orthopedics
- CLIA Number: 04D2016983
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-30-2026
About NORTHWEST ORTHODONTICS, PLLC
This page provides the complete NPI Profile along with additional information for Northwest Orthodontics, Pllc, a provider established in Fayetteville, Arkansas operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1811648751 assigned on January 2022. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 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 authorized official of this NPI record is Mrs. Lynn Phillips (Practice Manager)
- NPI
- 1811648751
- Provider Name
- NORTHWEST ORTHODONTICS, PLLC
- Entity Type
- Organization
- Location Address
- 3119 E MISSION BLVD FAYETTEVILLE, AR 72703
- Location Phone
- (479) 521-4181
- Location Fax
- (479) 521-0442
- Mailing Address
- 3119 E MISSION BLVD FAYETTEVILLE, AR 72703
- Mailing Phone
- (479) 521-4181
- Mailing Fax
- (479) 521-0442
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2022
- Last Update Date
- 01-12-2022
- Code Navigator
A dentist like Northwest Orthodontics, Pllc 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
Secondary Locations
- 1423 E Centerton Blvd
Centerton, AR 72719
(479) 521-4181 - 3015 Free Ferry Rd
Fort Smith, AR 72903
(479) 521-4181
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 Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
- Type
- Dental Providers
- Taxonomy Description
- That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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.
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
- 04D2016983
- Facility Type
- Physician Office
- Certificate Effective Date
- December 01, 2024
- Certificate Expiration Date
- November 30, 2026
- Laboratory Director
- RANDY CONOVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Orthodontics, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1811648751, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811648751, enumerated as an "organization" on January 12, 2022.
The provider is located at 3119 E MISSION BLVD FAYETTEVILLE, AR 72703 and the phone number is (479) 521-4181.
Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.
