SUN LIFE PEDIATRIC DENTISTRY
NPI 1992166359
Clinic/Center - Dental in Casa Grande, AZ

NPI Status: Active since March 14, 2016

Contact Information

1864 E FLORENCE BLVD
SUITE1
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-3446
Fax: (520) 836-8807

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About SUN LIFE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Sun Life Pediatric Dentistry, a provider established in Casa Grande, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1992166359 assigned on March 2016. The practitioner's primary taxonomy code is 261QD0000X with license number BL-16-58324 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Sun Life Pediatric Dentistry. The authorized official of this NPI record is Travis J Robinette (Chief Executive Officer)

NPI
1992166359
Provider Legal Name
SUN LIFE FAMILY HEALTH CENTER, INC.
Other Organization Name
SUN LIFE PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1864 E FLORENCE BLVD SUITE1 CASA GRANDE, AZ 85122
Location Phone
(520) 836-3446
Location Fax
(520) 836-8807
Mailing Address
PO BOX 10097 CASA GRANDE, AZ 85130
Mailing Phone
(520) 836-3446
Mailing Fax
(520) 836-8807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2016
Last Update Date
08-03-2017
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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.
BL-16-58324
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO

*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

TRAVIS J ROBINETTE

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(520) 836-3446

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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 1992166359, 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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 9 → 18 → 9 1 → 2 6 → 12 → 3 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 + 8 + 2 + 2 + 6 + 1 + 2 + 3 + 1 + 0 + 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 1992166359.

Other Providers at the Same Location


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

Family Medicine
1864 E FLORENCE BLVD, SUITE 2
CASA GRANDE, AZ 85122
Dentist
1864 E FLORENCE BLVD, SUITE 1
CASA GRANDE, AZ 85122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992166359, enumerated as an "organization" on March 14, 2016.

The provider is located at 1864 E FLORENCE BLVD SUITE1 CASA GRANDE, AZ 85122 and the phone number is (520) 836-3446.

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

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.