SOUTH HILL CHILDRENS DENTISTRY
NPI 1821159047
Dentist - Pediatric Dentistry in Puyallup, WA

NPI Status: Active since December 12, 2006

Contact Information

11102 SUNRISE BLVD E
SUITE 108
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-1022
Fax: (253) 848-0218

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 50D2317769
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About SOUTH HILL CHILDRENS DENTISTRY

This page provides the complete NPI Profile along with additional information for South Hill Childrens Dentistry, a provider established in Puyallup, Washington operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1821159047 assigned on December 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 6837 (WA). The provider is registered as an organization and their NPI record was last updated 6 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 Dr. James L Miller Dds (Owner)

NPI
1821159047
Provider Name
SOUTH HILL CHILDRENS DENTISTRY
Entity Type
Organization
Location Address
11102 SUNRISE BLVD E SUITE 108 PUYALLUP, WA 98374
Location Phone
(253) 848-1022
Location Fax
(253) 848-0218
Mailing Address
11102 SUNRISE BLVD SUITE 108 PUYALLUP, WA 98374
Mailing Phone
(253) 848-1022
Mailing Fax
(253) 848-0218
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like South Hill Childrens 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
6837
License State
WA
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.

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

DR. JAMES L MILLER DDS

Authorized Official Title
OWNER
Authorized Official Phone
(253) 848-1022

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
50D2317769
Facility Type
Other - AFH
Certificate Effective Date
January 30, 2025
Certificate Expiration Date
April 04, 2028
Laboratory Director
ELIZABETH MWANGI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Hill Childrens Dentistry 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 1821159047, 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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
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 2 → 4 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 2 + 5 + 1 + 8 + 0 + 8 + 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 1821159047.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Pediatrics
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Obstetrics & Gynecology
11102 SUNRISE BLVD E, SUITE 110
PUYALLUP, WA 98374
Pediatrics
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Nurse Practitioner (Pediatrics)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Nurse Practitioner (Family)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Dentist
11102 SUNRISE BLVD E, 108
PUYALLUP, WA 98374
Specialist
11102 SUNRISE BLVD E, SUITE-102
PUYALLUP, WA 98374
Nurse Practitioner (Women's Health)
11102 SUNRISE BLVD E, STE #110
PUYALLUP, WA 98374
Physician Assistant (Medical)
11102 SUNRISE BLVD E, STE 103
PUYALLUP, WA 98374
Dentist (Orthodontics and Dentofacial Orthopedics)
11102 SUNRISE BLVD E, SUITE 101
PUYALLUP, WA 98374
Physician Assistant (Medical)
11102 SUNRISE BLVD E, STE 103
PUYALLUP, WA 98374
Dietitian, Registered
11102 SUNRISE BLVD E, SUITE 102
PUYALLUP, WA 98374
Emergency Medicine
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Physician Assistant (Medical)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Nurse Practitioner (Family)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Nurse Practitioner (Pediatrics)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Internal Medicine
11102 SUNRISE BLVD E, SUITE 109
PUYALLUP, WA 98374
Nurse Practitioner (Pediatrics)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821159047, enumerated as an "organization" on December 12, 2006.

The provider is located at 11102 SUNRISE BLVD E SUITE 108 PUYALLUP, WA 98374 and the phone number is (253) 848-1022.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.