MERVIN L. ELLSTROM DDS, INC
NPI 1912121781
Dentist - General Practice in Moreno Valley, CA
NPI Status: Active since April 12, 2007
Contact Information
12900 PERRIS BLVD
SUITE 101
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 242-3431
Fax: (951) 242-7570
NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Dentist
- General Practice
About MERVIN L. ELLSTROM DDS, INC
This page provides the complete NPI Profile along with additional information for Mervin L. Ellstrom Dds, Inc, a provider established in Moreno Valley, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1912121781 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 24928 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. Mervin L. Ellstrom Dds, Inc 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. Mervin L Ellstrom D.d.s. (Owner President)
- NPI
- 1912121781
- Provider Name
- MERVIN L. ELLSTROM DDS, INC
- Entity Type
- Organization
- Location Address
- 12900 PERRIS BLVD SUITE 101 MORENO VALLEY, CA 92553
- Location Phone
- (951) 242-3431
- Location Fax
- (951) 242-7570
- Mailing Address
- 12900 PERRIS BLVD SUITE 101 MORENO VALLEY, CA 92553
- Mailing Phone
- (951) 242-3431
- Mailing Fax
- (951) 242-7570
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 01-07-2010
- Code Navigator
A dentist like Mervin L. Ellstrom Dds, Inc 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 24928
- License State
- CA
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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.
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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 1912121781, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912121781, enumerated as an "organization" on April 12, 2007.
The provider is located at 12900 PERRIS BLVD SUITE 101 MORENO VALLEY, CA 92553 and the phone number is (951) 242-3431.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
