PARKER DENTAL
NPI 1962056572
Clinic/Center in Lake Havasu City, AZ

NPI Status: Active since July 31, 2019

Contact Information

2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ
ZIP 86406
Phone: (928) 733-6199

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  • Organization
  • Clinic/Center

About PARKER DENTAL

This page provides the complete NPI Profile along with additional information for Parker Dental, a provider established in Lake Havasu City, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1962056572 assigned on July 2019. The practitioner's primary taxonomy code is 261Q00000X. 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 Ilan Shamos Dmd (Owner)

NPI
1962056572
Provider Name
PARKER DENTAL
Entity Type
Organization
Location Address
2872 JAMAICA BLVD S LAKE HAVASU CITY, AZ 86406
Location Phone
(928) 733-6199
Mailing Address
2872 JAMAICA BLVD S LAKE HAVASU CITY, AZ 86406
Mailing Phone
(928) 733-6199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2019
Last Update Date
07-31-2019
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Location Map

Secondary Locations

  • 155 W Riverside Dr Ste 153
    Parker, AZ 85344
    (928) 669-0099

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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ILAN SHAMOS DMD

Authorized Official Title
OWNER
Authorized Official Phone
(928) 733-6199

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962056572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291220512514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 5 + 1 + 2 + 5 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1962056572 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DESIRAE DENTAL SERVICES, PLLC

Dental Assistant

2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ
ZIP 86406

(928) 680-7645

HAVASU DENTAL CENTER PLLC

Clinic/Center

(Dental)

2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ
ZIP 86406

(928) 733-6199

DR. GABRIEL GREGORY GALANTE DDS

Dentist

(General Practice)

2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ
ZIP 86406

(928) 733-6199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962056572, enumerated as an "organization" on July 31, 2019.

The provider is located at 2872 JAMAICA BLVD S LAKE HAVASU CITY, AZ 86406 and the phone number is (928) 733-6199.

Clinic/Center with taxonomy code 261Q00000X.