KAISER PERMANENTE
NPI 1992711022
Dental Hygienist in Salem, OR

NPI Status: Active since July 31, 2006

Contact Information

5135 SKYLINE RD SO.
SALEM, OR
ZIP 97306
Phone: (503) 588-6560

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  • Organization
  • Dental Hygienist
  • CLIA Number: 38D0668653
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2027

About KAISER PERMANENTE

This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Salem, Oregon operating as a Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1992711022 assigned on July 2006. The practitioner's primary taxonomy code is 124Q00000X with license number H4906 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. Kaiser Permanente operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Suzanne Michelle Bozso Rdh (Dental Hygienist)

NPI
1992711022
Provider Name
KAISER PERMANENTE
Entity Type
Organization
Location Address
5135 SKYLINE RD SO. SALEM, OR 97306
Location Phone
(503) 588-6560
Mailing Address
1645 1/2 DAVIDSON ST SE SALEM, OR 97302
Mailing Phone
(503) 588-6560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2006
Last Update Date
06-01-2021
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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

Dental Hygienist

Taxonomy Code
124Q00000X
Type
Dental Providers
License No.
H4906
License State
OR
Taxonomy Description
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MS. SUZANNE MICHELLE BOZSO RDH

Authorized Official Title
DENTAL HYGIENIST
Authorized Official Phone
(503) 588-6560

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
38D0668653
Facility Type
Physician Office
Certificate Effective Date
August 20, 2025
Certificate Expiration Date
August 19, 2027
Laboratory Director
JULIA BONCHER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Kaiser Permanente in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1992711022, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

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 + 1 + 4 + 1 + 2 + 0 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992711022.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992711022, enumerated as an "organization" on July 31, 2006.

The provider is located at 5135 SKYLINE RD SO. SALEM, OR 97306 and the phone number is (503) 588-6560.

Dental Hygienist with taxonomy code 124Q00000X.