SCDP ANESTHESIA PROFESSIONALS
NPI 1821555020
Anesthesiology in Raleigh, NC

NPI Status: Active since February 23, 2019

Contact Information

2620 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 526-1000

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  • Organization
  • Anesthesiology
  • CLIA Number: 34D2147298
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-16-2028

About SCDP ANESTHESIA PROFESSIONALS

This page provides the complete NPI Profile along with additional information for Scdp Anesthesia Professionals, an anesthesiologist established in Raleigh, North Carolina operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1821555020 assigned on February 2019. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Scdp Anesthesia Professionals operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Scdp Anesthesia Professionals. The authorized official of this NPI record is Mr. Devin Larsen (Ceo)

NPI
1821555020
Provider Legal Name
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Other Organization Name
SCDP ANESTHESIA PROFESSIONALS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2620 NEW BERN AVE RALEIGH, NC 27610
Location Phone
(919) 526-1000
Mailing Address
2620 NEW BERN AVE RALEIGH, NC 27610
Mailing Phone
(919) 526-1000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-23-2019
Last Update Date
05-30-2024
Code Navigator

An anesthesiologist like Scdp Anesthesia Professionals manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

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)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

 
2367H00000XPhysician Assistants & Advanced Practice Nursing Providers

Anesthesiologist Assistant

 

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.

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. DEVIN LARSEN

Authorized Official Title
CEO
Authorized Official Phone
(208) 340-1840

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
34D2147298
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 17, 2026
Certificate Expiration Date
April 16, 2028
Laboratory Director
DAVID KORNSTEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scdp Anesthesia Professionals 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 1821555020, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 5 → 10 → 1 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 0 + 5 + 1 + 0 + 0 + 4 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1821555020.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Dentist
2620 NEW BERN AVE, NEW BERN RIDGE DENTAL CENTER
RALEIGH, NC 27610
Family Medicine
2620 NEW BERN AVE
RALEIGH, NC 27610
Clinic/Center (Federally Qualified Health Center (FQHC))
2620 NEW BERN AVE
RALEIGH, NC 27610
Clinic/Center (Federally Qualified Health Center (FQHC))
2620 NEW BERN AVE
RALEIGH, NC 27610
Dietitian, Registered
2620 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
2620 NEW BERN AVE
RALEIGH, NC 27610
Dietitian, Registered
2620 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics
2620 NEW BERN AVE
RALEIGH, NC 27610
Clinic/Center (Ambulatory Surgical)
2620 NEW BERN AVE
RALEIGH, NC 27610
Dentist
2620 NEW BERN AVE
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821555020, enumerated as an "organization" on February 23, 2019.

The provider is located at 2620 NEW BERN AVE RALEIGH, NC 27610 and the phone number is (919) 526-1000.

Anesthesiology with taxonomy code 207L00000X.