FERGUSON DENTAL
NPI 1841449105
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI
NPI Status: Active since September 11, 2008
Contact Information
101 SHELDON BLVD SE STE 1
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 776-2340
Fax: (616) 776-2341
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 23D2175772
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 12-01-2025
About FERGUSON DENTAL
Ferguson Dental is a primary care provider established in Grand Rapids, Michigan operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1841449105 assigned on September 2008. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Ferguson Dental. The authorized official of this NPI record is Tasha Blackmon (Ceo)
- NPI
- 1841449105
- Provider Legal Name
- CHERRY STREET SERVICES, INC.
- Other Organization Name
- FERGUSON DENTAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 101 SHELDON BLVD SE STE 1 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 776-2340
- Location Fax
- (616) 776-2341
- Mailing Address
- 100 CHERRY ST SE GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 965-8200
- Mailing Fax
- (616) 776-2341
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2008
- Last Update Date
- 08-25-2023
- Code Navigator
A primary care provider (PCP) like Ferguson Dental sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist |
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
- 23D2175772
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 02, 2023
- Certificate Expiration Date
- December 01, 2025
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ferguson Dental 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 4 | 4 | 9 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 8 | 4 | 18 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 8 + 4 + 1 + 8 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1841449105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841449105, enumerated in the NPI registry as an "organization" on September 11, 2008
The provider is located at 101 Sheldon Blvd Se Ste 1 Grand Rapids, Mi 49503 and the phone number is (616) 776-2340
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 23D2175772 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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