DENTAL SHINE III P C
NPI 1902131444
Clinic/Center - Dental in Chicago, IL

NPI Status: Active since October 15, 2009

Contact Information

2902 W 63RD ST.
CHICAGO, IL
ZIP 60629
Phone: (773) 776-6666

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  • Organization
  • Clinic/Center
  • Dental

About DENTAL SHINE III P C

This page provides the complete NPI Profile along with additional information for Dental Shine Iii P C, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1902131444 assigned on October 2009. The practitioner's primary taxonomy code is 261QD0000X with license number 019026154 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Firas El-muqdad (President)

NPI
1902131444
Provider Name
DENTAL SHINE III P C
Entity Type
Organization
Location Address
2902 W 63RD ST. CHICAGO, IL 60629
Location Phone
(773) 776-6666
Mailing Address
2902 W 63RD ST. CHICAGO, IL 60629
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2009
Last Update Date
10-15-2009
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
019026154
License State
IL

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

FIRAS EL-MUQDAD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(773) 776-6666

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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.
1902131444
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290223248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 3 + 2 + 4 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1902131444 is valid because the calculated check digit 4 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 1902131444, enumerated as an "organization" on October 15, 2009.

The provider is located at 2902 W 63RD ST. CHICAGO, IL 60629 and the phone number is (773) 776-6666.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.