PARADISE SMILES DENTAL CLINIC
NPI 1972733053
Clinic/Center - Dental in Tamuning, GU

NPI Status: Active since July 22, 2009

Contact Information

226 CHALAN SAN ANTONIO STE C
AMPARO'S BUSINESS CENTER
TAMUNING, GU
ZIP 96913
Phone: (671) 646-2010
Fax: (671) 646-2070

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  • Organization
  • Clinic/Center
  • Dental

About PARADISE SMILES DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Paradise Smiles Dental Clinic, a provider established in Tamuning, Guam operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1972733053 assigned on July 2009. The practitioner's primary taxonomy code is 261QD0000X with license number D927 (GU). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Paradise Smiles Dental Clinic. The authorized official of this NPI record is Dr. Kenny Wayne Bourgeois Dds (President/primary Dental Provider)

NPI
1972733053
Provider Legal Name
REACHING OUT MINISTRIES
Other Organization Name
PARADISE SMILES DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
226 CHALAN SAN ANTONIO STE C AMPARO'S BUSINESS CENTER TAMUNING, GU 96913
Location Phone
(671) 646-2010
Location Fax
(671) 646-2070
Mailing Address
226 CHALAN SAN ANTONIO STE C AMPARO'S BUSINESS CENTER TAMUNING, GU 96913
Mailing Phone
(671) 646-2010
Mailing Fax
(671) 646-2070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2009
Last Update Date
07-22-2009
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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
License No.
D927
License State
GU

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

14605 (TX)

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. KENNY WAYNE BOURGEOIS DDS

Authorized Official Title
PRESIDENT/PRIMARY DENTAL PROVIDER
Authorized Official Phone
(671) 646-2010

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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 1972733053, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 7 → 14 → 5 7 → 14 → 5 3 → 6 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 + 4 + 2 + 1 + 4 + 3 + 6 + 0 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972733053.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
226 CHALAN SAN ANTONIO STE C
TAMUNING, GU 96913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972733053, enumerated as an "organization" on July 22, 2009.

The provider is located at 226 CHALAN SAN ANTONIO STE C AMPARO'S BUSINESS CENTER TAMUNING, GU 96913 and the phone number is (671) 646-2010.

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