POTTSVILLE PEDIATRIC DENTAL CENTER
NPI 1831498971
Dentist - Pediatric Dentistry in Pottsville, PA

NPI Status: Active since March 15, 2011

Contact Information

305 N 2ND ST
POTTSVILLE, PA
ZIP 17901
Phone: (570) 622-7430

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 39D0189583
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-24-2027

About POTTSVILLE PEDIATRIC DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Pottsville Pediatric Dental Center, a provider established in Pottsville, Pennsylvania operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1831498971 assigned on March 2011. The practitioner's primary taxonomy code is 1223P0221X with license number DS035069 (PA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Pottsville Pediatric Dental Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Preciosa Perez Dds (Partner)

NPI
1831498971
Provider Name
POTTSVILLE PEDIATRIC DENTAL CENTER
Entity Type
Organization
Location Address
305 N 2ND ST POTTSVILLE, PA 17901
Location Phone
(570) 622-7430
Mailing Address
305 N 2ND ST POTTSVILLE, PA 17901
Mailing Phone
(570) 622-7430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2011
Last Update Date
03-15-2011
Code Navigator

A dentist like Pottsville Pediatric Dental Center 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.
DS035069
License State
PA
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.

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

DS031182L (PA)

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.

Insurance Plans Accepted

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

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

DR. PRECIOSA PEREZ DDS

Authorized Official Title
PARTNER
Authorized Official Phone
(570) 622-7430

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
001883048-0001MEDICAID (05)PA 

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
39D0189583
Facility Type
Physician Office
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
DR. SATISH C. SINGLA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pottsville Pediatric Dental Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for POTTSVILLE PEDIATRIC DENTAL CENTER

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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 1831498971, 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 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
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
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 3 → 6 4 → 8 8 → 16 → 7 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 + 6 + 1 + 8 + 9 + 1 + 6 + 9 + 1 + 4 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1831498971.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831498971, enumerated as an "organization" on March 15, 2011.

The provider is located at 305 N 2ND ST POTTSVILLE, PA 17901 and the phone number is (570) 622-7430.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.