NEAR NORTH HEALTH
NPI 1821630054
Dental Hygienist in Chicago, IL
NPI Status: Active since October 09, 2019
Contact Information
4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653
Phone: (773) 629-5488
- Organization
- Dental Hygienist
- CLIA Number: 14D2253837
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-23-2028
About NEAR NORTH HEALTH
This page provides the complete NPI Profile along with additional information for Near North Health, a provider established in Chicago, Illinois operating as a Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1821630054 assigned on October 2019. The practitioner's primary taxonomy code is 124Q00000X. The provider is registered as an organization and their NPI record was last updated 7 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 Destenii Thomas Anderson Rdh (Dental Hygienist)
- NPI
- 1821630054
- Provider Name
- NEAR NORTH HEALTH
- Entity Type
- Organization
- Location Address
- 4259 S BERKELEY AVE CHICAGO, IL 60653
- Location Phone
- (773) 629-5488
- Mailing Address
- 4259 S BERKELEY AVE CHICAGO, IL 60653
- Mailing Phone
- (773) 629-5488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2019
- Last Update Date
- 10-09-2019
- Code Navigator
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
Dental Hygienist
- Taxonomy Code
- 124Q00000X
- Type
- Dental Providers
- Taxonomy Description
- An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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
- 14D2253837
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 24, 2026
- Certificate Expiration Date
- February 23, 2028
- Laboratory Director
- JUDITH OPENA DISTERHOFT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Near North Health 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 1821630054, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
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 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
CHICAGO, IL 60653
CHICAGO, IL 60653
CHICAGO, IL 60653
CHICAGO, IL 60653
CHICAGO, IL 60653
CHICAGO, IL 60653
CHICAGO, IL 60653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821630054, enumerated as an "organization" on October 09, 2019.
The provider is located at 4259 S BERKELEY AVE CHICAGO, IL 60653 and the phone number is (773) 629-5488.
Dental Hygienist with taxonomy code 124Q00000X.
