FONDY FAMILY DENTAL
NPI 1962099101
Clinic/Center - Dental in Fond Du Lac, WI

NPI Status: Active since December 22, 2020

Contact Information

35 W SCOTT ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 922-2930

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  • Organization
  • Clinic/Center
  • Dental

About FONDY FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Fondy Family Dental, a provider established in Fond Du Lac, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1962099101 assigned on December 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Chad Goeke Dmd (Owner/dentist)

NPI
1962099101
Provider Name
FONDY FAMILY DENTAL
Entity Type
Organization
Location Address
35 W SCOTT ST FOND DU LAC, WI 54935
Location Phone
(920) 922-2930
Mailing Address
35 W SCOTT ST FOND DU LAC, WI 54935
Mailing Phone
(920) 922-2930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2020
Last Update Date
12-24-2020
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

CHAD GOEKE DMD

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(815) 541-9561

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
1285780171MEDICAID (05)WI 
1548619265MEDICAID (05)WI 

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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 1962099101, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 0 + 9 + 1 + 8 + 1 + 0 + 24 = 59

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.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962099101.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
35 W SCOTT ST
FOND DU LAC, WI 54935
Student in an Organized Health Care Education/Training Program
35 W SCOTT ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962099101, enumerated as an "organization" on December 22, 2020.

The provider is located at 35 W SCOTT ST FOND DU LAC, WI 54935 and the phone number is (920) 922-2930.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.