CORNER CLINIC DENTAL STG
NPI 1922609015
Clinic/Center - Dental in St George, UT

NPI Status: Active since November 04, 2020

Contact Information

2351 S RIVER RD STE 4
ST GEORGE, UT
ZIP 84790
Phone: (435) 709-8786

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 46D2146494
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-28-2026

About CORNER CLINIC DENTAL STG

This page provides the complete NPI Profile along with additional information for Corner Clinic Dental Stg, a provider established in St George, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1922609015 assigned on November 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jacob Heywood (Cfo)

NPI
1922609015
Provider Name
CORNER CLINIC DENTAL STG
Entity Type
Organization
Location Address
2351 S RIVER RD STE 4 ST GEORGE, UT 84790
Location Phone
(435) 709-8786
Mailing Address
380 E MAIN ST BLDG B2ND MIDWAY, UT 84049
Mailing Phone
(435) 659-7352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2020
Last Update Date
11-04-2020
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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

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

JACOB HEYWOOD

Authorized Official Title
CFO
Authorized Official Phone
(435) 671-3285

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
46D2146494
Facility Type
Practitioner Other
Certificate Effective Date
March 29, 2024
Certificate Expiration Date
March 28, 2026
Laboratory Director
CORY G. COSGRAVE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Corner Clinic Dental Stg in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1922609015, 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
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 2 → 4 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 1 + 2 + 0 + 1 + 8 + 0 + 2 + 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 1922609015.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922609015, enumerated as an "organization" on November 04, 2020.

The provider is located at 2351 S RIVER RD STE 4 ST GEORGE, UT 84790 and the phone number is (435) 709-8786.

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