GOOD LIFE DENTAL, P.C.
NPI 1912376617
Clinic/Center - Dental in North Platte, NE
NPI Status: Active since September 23, 2015
Contact Information
302 S BAILEY AVE
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 532-0427
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 28D2304077
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-06-2026
About GOOD LIFE DENTAL, P.C.
This page provides the complete NPI Profile along with additional information for Good Life Dental, P.c., a provider established in North Platte, Nebraska operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1912376617 assigned on September 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 7079 (NE). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's former legal business name is Comprehensive Family Dentistry, L.l.c.. The authorized official of this NPI record is Kate Wolford Wawrzynkiewicz D.d.s. (President)
- NPI
- 1912376617
- Provider Legal Name
- GOOD LIFE DENTAL, P.C.
- Other Organization Name
- COMPREHENSIVE FAMILY DENTISTRY, L.L.C.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 302 S BAILEY AVE NORTH PLATTE, NE 69101
- Location Phone
- (308) 532-0427
- Mailing Address
- 302 S BAILEY AVE NORTH PLATTE, NE 69101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2015
- Last Update Date
- 09-23-2015
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7079
- License State
- NE
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue - EPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261QD0000X | MEDICAID (05) | NE |
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
- 28D2304077
- Facility Type
- Physician Office
- Certificate Effective Date
- May 07, 2024
- Certificate Expiration Date
- May 06, 2026
- Laboratory Director
- ALEETA A. SOMERS-DEHANEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Good Life Dental, P.c. 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 1912376617, 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.
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912376617, enumerated as an "organization" on September 23, 2015.
The provider is located at 302 S BAILEY AVE NORTH PLATTE, NE 69101 and the phone number is (308) 532-0427.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medicare. Please consult your insurance carrier or call the provider to verify.
