LAKESIDE PEDIATRIC DENTAL SPECIALISTS
NPI 1891194379
Dentist - Pediatric Dentistry in Port Huron, MI

NPI Status: Active since August 20, 2014

Contact Information

1952 HOLLAND AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 985-9660
Fax: (810) 985-9666

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  • Organization
  • Dentist
  • Pediatric Dentistry

About LAKESIDE PEDIATRIC DENTAL SPECIALISTS

This page provides the complete NPI Profile along with additional information for Lakeside Pediatric Dental Specialists, a provider established in Port Huron, Michigan operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1891194379 assigned on August 2014. The practitioner's primary taxonomy code is 1223P0221X with license number 2901018671 (MI). The provider is registered as an organization and their NPI record was last updated 12 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. Phillip Glenn Monroy Dds, Ms (Owner)

NPI
1891194379
Provider Name
LAKESIDE PEDIATRIC DENTAL SPECIALISTS
Entity Type
Organization
Location Address
1952 HOLLAND AVE PORT HURON, MI 48060
Location Phone
(810) 985-9660
Location Fax
(810) 985-9666
Mailing Address
1952 HOLLAND AVE PORT HURON, MI 48060
Mailing Phone
(810) 985-9660
Mailing Fax
(810) 985-9666
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2014
Last Update Date
08-20-2014
Code Navigator

A dentist like Lakeside Pediatric Dental Specialists 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.
2901018671
License State
MI
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. PHILLIP GLENN MONROY DDS, MS

Authorized Official Title
OWNER
Authorized Official Phone
(810) 985-9660

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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 1891194379, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 9 → 18 → 9 1 → 2 4 → 8 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 + 1 + 8 + 1 + 2 + 9 + 8 + 3 + 1 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891194379.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
1952 HOLLAND AVE
PORT HURON, MI 48060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891194379, enumerated as an "organization" on August 20, 2014.

The provider is located at 1952 HOLLAND AVE PORT HURON, MI 48060 and the phone number is (810) 985-9660.

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