BRIDGE LAKE DENTAL
NPI 1912301425
Dentist in Lake Havasu, AZ

NPI Status: Active since October 13, 2014

Contact Information

1799 NORTH KIOWA BLVD
UNIT 109
LAKE HAVASU, AZ
ZIP 86403
Phone: (928) 399-7711
Fax: (928) 399-7710

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  • Organization
  • Dentist

About BRIDGE LAKE DENTAL

This page provides the complete NPI Profile along with additional information for Bridge Lake Dental, a provider established in Lake Havasu, Arizona operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1912301425 assigned on October 2014. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Bridge Lake Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Bridge Lake Dental. The authorized official of this NPI record is Roland Pischinger (Insurance Department Manager)

NPI
1912301425
Provider Legal Name
ARIZONA HAVASU BDM PAK LLC
Other Organization Name
BRIDGE LAKE DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1799 NORTH KIOWA BLVD UNIT 109 LAKE HAVASU, AZ 86403
Location Phone
(928) 399-7711
Location Fax
(928) 399-7710
Mailing Address
2101 S JONES BLVD STE 140 LAS VEGAS, NV 89146
Mailing Phone
(702) 522-2025
Mailing Fax
(928) 399-7710
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2014
Last Update Date
05-31-2018
Code Navigator

A dentist like Bridge Lake Dental 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

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

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

ROLAND PISCHINGER

Authorized Official Title
INSURANCE DEPARTMENT MANAGER
Authorized Official Phone
(702) 522-2028

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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 1912301425, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 6 + 0 + 2 + 4 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912301425.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912301425, enumerated as an "organization" on October 13, 2014.

The provider is located at 1799 NORTH KIOWA BLVD UNIT 109 LAKE HAVASU, AZ 86403 and the phone number is (928) 399-7711.

Dentist with taxonomy code 122300000X.