RIVERSIDE DENTAL LLC
NPI 1972740249
Clinic/Center - Dental in St George, UT

NPI Status: Active since January 08, 2009

Contact Information

368 E RIVERSIDE DR
BLDG #2
ST GEORGE, UT
ZIP 84790
Phone: (435) 673-3363

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 46D2018895
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-10-2027

About RIVERSIDE DENTAL LLC

This page provides the complete NPI Profile along with additional information for Riverside Dental Llc, a provider established in St George, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1972740249 assigned on January 2009. The practitioner's primary taxonomy code is 261QD0000X with license number 5929127-9923 (UT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. David R Stevens Dds (Manager)

NPI
1972740249
Provider Name
RIVERSIDE DENTAL LLC
Entity Type
Organization
Location Address
368 E RIVERSIDE DR BLDG #2 ST GEORGE, UT 84790
Location Phone
(435) 673-3363
Mailing Address
368 E RIVERSIDE DR BLDG #2 ST GEORGE, UT 84790
Mailing Phone
(435) 673-3363
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2009
Last Update Date
01-08-2009
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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.
5929127-9923
License State
UT

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. DAVID R STEVENS DDS

Authorized Official Title
MANAGER
Authorized Official Phone
(435) 673-3363

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2018895
Facility Type
Physician Office
Certificate Effective Date
July 11, 2025
Certificate Expiration Date
July 10, 2027
Laboratory Director
BENJAMIN G. CARTER MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Riverside Dental Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1972740249, 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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 7 → 14 → 5 0 → 0 4 → 8

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 + 4 + 0 + 2 + 8 + 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 1972740249.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Medical-Surgical)
368 E RIVERSIDE DR, SUITE A
ST GEORGE, UT 84790
Dentist
368 E RIVERSIDE DR, BLDG 2A
ST GEORGE, UT 84790
Dentist
368 E RIVERSIDE DR, BLDG 2A
ST GEORGE, UT 84790
Internal Medicine
368 E RIVERSIDE DR, 3B
SAINT GEORGE, UT 84790
Dentist (Pediatric Dentistry)
368 E RIVERSIDE DR, BUILDING 6
ST GEORGE, UT 84790
Internal Medicine (Gastroenterology)
368 E RIVERSIDE DR, SUITE A
ST GEORGE, UT 84790
Internal Medicine (Gastroenterology)
368 E RIVERSIDE DR
ST GEORGE, UT 84790
Internal Medicine (Gastroenterology)
368 E RIVERSIDE DR, SUITE A
ST GEORGE, UT 84790
Clinical Nurse Specialist (Family Health)
368 E RIVERSIDE DR, STE A
ST GEORGE, UT 84790
Anesthesiology
368 E RIVERSIDE DR, SUITE B
ST GEORGE, UT 84790
Dentist (General Practice)
368 E RIVERSIDE DR, BLDG 2A
ST GEORGE, UT 84790
Internal Medicine (Gastroenterology)
368 E RIVERSIDE DR, SUITE A
ST GEORGE, UT 84790
Physician Assistant
368 E RIVERSIDE DR, SUITE A
ST GEORGE, UT 84790
Clinic/Center
368 E RIVERSIDE DR
SAINT GEORGE, UT 84790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972740249, enumerated as an "organization" on January 08, 2009.

The provider is located at 368 E RIVERSIDE DR BLDG #2 ST GEORGE, UT 84790 and the phone number is (435) 673-3363.

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