INDEPENDENCE FAMILY DENTAL
NPI 1164406138
Dentist in Chicago,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 2, 2005

Contact Information

4703 W Lawrence Ave
Chicago,
Post Code: 60630
Phone: (773) 205-9900
Fax: (773) 205-9970

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Independence Family Dental in Chicago - Dentist

Independence Family Dental is a Dentist in Chicago, . Independence Family Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Independence Family Dental is 1164406138. The last update date is 2020-08-22.

Independence Family Dental's current location address is 4703 W Lawrence Ave, Chicago, . You can contact this provider via phone number (773) 205-9900 and fax number (773) 205-9970. The mailing address for Independence Family Dental is 4703 W Lawrence Ave, Chicago, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164406138
Provider Legal Name
INDEPENDENCE FAMILY DENTAL
Other Organization Name
INDEPENDENCE FAMILY DENTAL
Other Name Type
-
Entity Type
Organization
Location Address
4703 W Lawrence Ave, Chicago,
Location Phone
(773) 205-9900
Location Fax
(773) 205-9970
Mailing Address
4703 W Lawrence Ave, Chicago, Illinois(IL)
Mailing Phone
773-205-9900
Mailing Fax
773-205-9970
Enumeration Date
2005-12-02
Last Update Date
2020-08-22
Code Navigator

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

Taxonomy Code
122300000X
Type
-
License No.
019023605
License State
Illinois (IL)
Taxonomy Description
-

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
101611 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164406138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124801216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21124801216
2 + 1 + 1 + 2 + 4 + 8 + 0 + 1 + 2 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1164406138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164405700 DONALD M NORRIS
Individual
Urology 1660 FEEHANVILLE DR STE 200
MOUNT PROSPECT, Illinois (IL)
847-823-3185
1164405106 WRHC & RC INC.
WOODSTOCK RESIDENCE
Organization
Skilled Nursing Facility 309 MCHENRY AVE
WOODSTOCK, Illinois (IL)
815-338-1700
1164404281 JOI F BRADSHAW
Individual
Obstetrics & Gynecology 6307 S STEWART AVE
CHICAGO, Illinois (IL)
773-962-3939
1164403655 RAMESH N PATEL
Individual
Internal Medicine, Cardiovascular Disease 330 MADISON ST
JOLIET, Illinois (IL)
815-725-5424
1164403622 ST. MARGARET'S HEALTH-PERU
Organization
Medicare Defined Swing Bed Unit 925 WEST ST
PERU, Illinois (IL)
815-223-3300