IDAHO STREET DENTAL
NPI 1962992552
Clinic/Center - Dental in Boise, ID

NPI Status: Active since May 18, 2018

Contact Information

305 W IDAHO ST
BOISE, ID
ZIP 83702
Phone: (208) 343-7271

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  • Organization
  • Clinic/Center
  • Dental

About IDAHO STREET DENTAL

This page provides the complete NPI Profile along with additional information for Idaho Street Dental, a provider established in Boise, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1962992552 assigned on May 2018. The practitioner's primary taxonomy code is 261QD0000X with license number D-4223 (ID). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Idaho Street Dental. The authorized official of this NPI record is Dr. Justin Greg Frandsen Dds (Owner)

NPI
1962992552
Provider Legal Name
FRANDSEN DENTAL
Other Organization Name
IDAHO STREET DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
305 W IDAHO ST BOISE, ID 83702
Location Phone
(208) 343-7271
Mailing Address
305 W IDAHO ST BOISE, ID 83702
Mailing Phone
(208) 343-7271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2018
Last Update Date
05-18-2018
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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.
D-4223
License State
ID

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

D-4838 (ID)

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

DR. JUSTIN GREG FRANDSEN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(208) 821-0781

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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 1962992552, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 9 → 18 → 9 2 → 4 5 → 10 → 1

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 + 8 + 9 + 4 + 5 + 1 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1962992552.

Other Providers at the Same Location


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

Dentist
305 W IDAHO ST
BOISE, ID 83702
Dentist
305 W IDAHO ST
BOISE, ID 83702
Dentist (General Practice)
305 W IDAHO ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962992552, enumerated as an "organization" on May 18, 2018.

The provider is located at 305 W IDAHO ST BOISE, ID 83702 and the phone number is (208) 343-7271.

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