COMMUNITY DENTAL CENTER
NPI 1962674788
Clinic/Center - Dental in Carbondale, IL

NPI Status: Active since April 01, 2008

Contact Information

1365 DOUGLAS DRIVE
CARBONDALE, IL
ZIP 62901
Phone: (618) 453-2353

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  • Organization
  • Clinic/Center
  • Dental

About COMMUNITY DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Community Dental Center, a provider established in Carbondale, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1962674788 assigned on April 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 019024395 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Community Dental Center. The authorized official of this NPI record is Lauren Cripps Dmd (Dentist)

NPI
1962674788
Provider Legal Name
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
Other Organization Name
COMMUNITY DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1365 DOUGLAS DRIVE CARBONDALE, IL 62901
Location Phone
(618) 453-2353
Mailing Address
1365 DOUGLAS DRIVE CARBONDALE, IL 62901
Mailing Phone
(618) 453-2353
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-01-2008
Last Update Date
09-24-2021
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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.
019024395
License State
IL

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

LAUREN CRIPPS DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(618) 453-2353

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
1023008364MEDICAID (05)IL 
1295716959MEDICAID (05)IL 
019.032439MEDICAID (05)IL 
1184615866MEDICAID (05)IL 

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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 1962674788, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 6 → 12 → 3 4 → 8 8 → 16 → 7

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 + 1 + 2 + 7 + 8 + 7 + 1 + 6 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1962674788.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962674788, enumerated as an "organization" on April 01, 2008.

The provider is located at 1365 DOUGLAS DRIVE CARBONDALE, IL 62901 and the phone number is (618) 453-2353.

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.