CLARK COUNTY DENTAL & DENTURE CLINIC
NPI 1962423129
Dentist - General Practice in Vancouver, WA

NPI Status: Active since July 22, 2006

Contact Information

2701 NE 114TH AVE
# K-6
VANCOUVER, WA
ZIP 98684
Phone: (360) 892-7107
Fax: (360) 891-8361

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  • Organization
  • Dentist
  • General Practice

About CLARK COUNTY DENTAL & DENTURE CLINIC

This page provides the complete NPI Profile along with additional information for Clark County Dental & Denture Clinic, a provider established in Vancouver, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1962423129 assigned on July 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DE00008735 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Clark County Dental & Denture Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sally Irene Fettig (Business Manager)

NPI
1962423129
Provider Name
CLARK COUNTY DENTAL & DENTURE CLINIC
Entity Type
Organization
Location Address
2701 NE 114TH AVE # K-6 VANCOUVER, WA 98684
Location Phone
(360) 892-7107
Location Fax
(360) 891-8361
Mailing Address
2701 NE 114TH AVE # K-6 VANCOUVER, WA 98684
Mailing Phone
(360) 892-7107
Mailing Fax
(360) 891-8361
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Clark County Dental & Denture Clinic 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DE00008735
License State
WA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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.

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

SALLY IRENE FETTIG

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(360) 892-7107

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
5048616MEDICAID (05)WA 
5036074MEDICAID (05)WA 
5047576MEDICAID (05)WA 
5041082MEDICAID (05)WA 
5026356MEDICAID (05)WA 

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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 1962423129, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

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 + 8 + 2 + 6 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962423129.

Other Providers at the Same Location


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

Dentist
2701 NE 114TH AVE, SUITE 6
VANCOUVER, WA 98684
Denturist
2701 NE 114TH AVE, # K-6
VANCOUVER, WA 98684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962423129, enumerated as an "organization" on July 22, 2006.

The provider is located at 2701 NE 114TH AVE # K-6 VANCOUVER, WA 98684 and the phone number is (360) 892-7107.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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