KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
NPI 1992179964
Dentist - Pediatric Dentistry in Syracuse, UT

NPI Status: Active since November 13, 2015

Contact Information

780 S 2000 W
SUITE #F-2
SYRACUSE, UT
ZIP 84075
Phone: (801) 776-8176
Fax: (801) 774-9085

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance

About KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE

This page provides the complete NPI Profile along with additional information for Kids Town Pediatric Dentistry Of Syracuse, a provider established in Syracuse, Utah operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1992179964 assigned on November 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 6362621-9922 (UT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brett Packham Dds (Member)

NPI
1992179964
Provider Name
KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
Entity Type
Organization
Location Address
780 S 2000 W SUITE #F-2 SYRACUSE, UT 84075
Location Phone
(801) 776-8176
Location Fax
(801) 774-9085
Mailing Address
780 S 2000 W SUITE #F-2 SYRACUSE, UT 84075
Mailing Phone
(801) 776-8176
Mailing Fax
(801) 774-9085
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2015
Last Update Date
11-13-2015
Code Navigator

A dentist like Kids Town Pediatric Dentistry Of Syracuse is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
6362621-9922
License State
UT
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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

BRETT PACKHAM DDS

Authorized Official Title
MEMBER
Authorized Official Phone
(801) 217-3359

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
1477728269MEDICAID (05)UT 

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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 1992179964, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 9 → 18 → 9 6 → 12 → 3

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 + 7 + 1 + 8 + 9 + 1 + 2 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1992179964.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
780 S 2000 W, BLDG E304
SYRACUSE, UT 84075
Dentist (General Practice)
780 S 2000 W, SUITE E-301
SYRACUSE, UT 84075
Dentist
780 S 2000 W, BLDG F2
SYRACUSE, UT 84075
Dentist
780 S 2000 W, F 1
SYRACUSE, UT 84075
Dentist
780 S 2000 W, F 1
SYRACUSE, UT 84075
Dentist
780 S 2000 W, F 1
SYRACUSE, UT 84075
Counselor (Professional)
780 S 2000 W, BUILDING E, SUITE #302
SYRACUSE, UT 84075
Social Worker (Clinical)
780 S 2000 W, SUITE E 302
SYRACUSE, UT 84075
Chiropractor
780 S 2000 W, BLDG. A SUITE 101
SYRACUSE, UT 84075
Chiropractor
780 S 2000 W, BLDG A, STE. 101
SYRACUSE, UT 84075
Clinic/Center (Dental)
780 S 2000 W, SUITE E-301
SYRACUSE, UT 84075
Dentist (General Practice)
780 S 2000 W, STE F1
SYRACUSE, UT 84075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992179964, enumerated as an "organization" on November 13, 2015.

The provider is located at 780 S 2000 W SUITE #F-2 SYRACUSE, UT 84075 and the phone number is (801) 776-8176.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.