PEDIATRIC DENTISTRY OF RIDGELAND, PLLC
NPI 1902456247
Dentist - Pediatric Dentistry in Ridgeland, MS

NPI Status: Active since September 18, 2019

Contact Information

297 HIGHWAY 51 STE D
RIDGELAND, MS
ZIP 39157
Phone: (601) 856-4428
Fax: (601) 856-3310

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 25D2292301
  • CLIA Cert. Type: Other - PED PRESCRIBED DAY CTR
  • CLIA Exp. Date: 10-23-2025

About PEDIATRIC DENTISTRY OF RIDGELAND, PLLC

This page provides the complete NPI Profile along with additional information for Pediatric Dentistry Of Ridgeland, Pllc, a provider established in Ridgeland, Mississippi operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1902456247 assigned on September 2019. The practitioner's primary taxonomy code is 1223P0221X. 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 Tiffany Priscilla Green Dmd (Pediatric Dentist)

NPI
1902456247
Provider Name
PEDIATRIC DENTISTRY OF RIDGELAND, PLLC
Entity Type
Organization
Location Address
297 HIGHWAY 51 STE D RIDGELAND, MS 39157
Location Phone
(601) 856-4428
Location Fax
(601) 856-3310
Mailing Address
297 HIGHWAY 51 STE D RIDGELAND, MS 39157
Mailing Phone
(601) 856-4428
Mailing Fax
(601) 856-3310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2019
Last Update Date
09-18-2019
Code Navigator

A dentist like Pediatric Dentistry Of Ridgeland, Pllc 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
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

TIFFANY PRISCILLA GREEN DMD

Authorized Official Title
PEDIATRIC DENTIST
Authorized Official Phone
(601) 497-2550

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
25D2292301
Facility Type
Other - PED PRESCRIBED DAY CTR
Certificate Effective Date
October 24, 2023
Certificate Expiration Date
October 23, 2025
Laboratory Director
DR. JENNA DEAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Dentistry Of Ridgeland, Pllc 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 1902456247, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 0 → 0 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 8 + 5 + 1 + 2 + 2 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1902456247.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
297 HIGHWAY 51 STE D
RIDGELAND, MS 39157
Clinic/Center
297 HIGHWAY 51 STE D
RIDGELAND, MS 39157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902456247, enumerated as an "organization" on September 18, 2019.

The provider is located at 297 HIGHWAY 51 STE D RIDGELAND, MS 39157 and the phone number is (601) 856-4428.

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