PARK CITY DENTAL ASSOCIATES LLC
NPI 1992261143
Clinic/Center - Dental in Park City, UT
NPI Status: Active since February 13, 2019
Contact Information
1830 PROSPECTOR AVE
PARK CITY, UT
ZIP 84060
Phone: (435) 649-6066
- Organization
- Clinic/Center
- Dental
- CLIA Number: 46D1050312
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-11-2027
About PARK CITY DENTAL ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Park City Dental Associates Llc, a provider established in Park City, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1992261143 assigned on February 2019. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Marc Brandon Mckee Dds (Manager)
- NPI
- 1992261143
- Provider Name
- PARK CITY DENTAL ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 1830 PROSPECTOR AVE PARK CITY, UT 84060
- Location Phone
- (435) 649-6066
- Mailing Address
- 1830 PROSPECTOR AVE PARK CITY, UT 84060
- Mailing Phone
- (435) 649-6066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-13-2019
- Last Update Date
- 02-13-2019
- Code Navigator
Location Map
Secondary Locations
- 1541 E Clark St
Pocatello, ID 83201
(435) 649-6066 - 345 W 600 S
Heber City, UT 84032
(435) 657-3694 - 209 N State St
Morgan, UT 84050
(801) 845-9090
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
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
- 46D1050312
- Facility Type
- Hospital
- Certificate Effective Date
- April 12, 2025
- Certificate Expiration Date
- April 11, 2027
- Laboratory Director
- DR. SARAH J. ILSTRUP
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Park City Dental Associates Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1992261143, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PARK CITY, UT 84060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992261143, enumerated as an "organization" on February 13, 2019.
The provider is located at 1830 PROSPECTOR AVE PARK CITY, UT 84060 and the phone number is (435) 649-6066.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
