SAN XAVIER CLINIC DENTAL
NPI 1215910484
Dentist, Pediatric Dentistry in Tucson,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 22, 2005

Contact Information

7900 S J Stock Rd
Tucson,
Post Code: 85746
Phone: (520) 295-2575
Fax: (520) 295-2574

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San Xavier Clinic Dental in Tucson - Dentist, Pediatric Dentistry

San Xavier Clinic Dental is a Dentist, Pediatric Dentistry in Tucson, . San Xavier Clinic Dental practices all healthcare services and medical treatments related to Dentist, Pediatric Dentistry. The NPI Number for San Xavier Clinic Dental is 1215910484. The last update date is 2008-04-22.

San Xavier Clinic Dental's current location address is 7900 S J Stock Rd, Tucson, . You can contact this provider via phone number (520) 295-2575 and fax number (520) 295-2574. The mailing address for San Xavier Clinic Dental is 7900 S J Stock Rd, Tucson, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215910484
Provider Legal Name
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
Other Organization Name
SAN XAVIER CLINIC DENTAL
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
7900 S J Stock Rd, Tucson,
Location Phone
(520) 295-2575
Location Fax
(520) 295-2574
Mailing Address
7900 S J Stock Rd, Tucson, Arizona(AZ)
Mailing Phone
520-295-2503
Mailing Fax
520-295-2676
Enumeration Date
2005-11-22
Last Update Date
2008-04-22
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, Dental Public Health

Taxonomy Code
1223D0001X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 1223P0221X Pediatric Dentist

Dentist, Pediatric Dentistry

()
2 124Q00000X Dental Hygienist

Dental Hygienist

()
3 126800000X Dental Assistant

Dental Assistant

()

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
004101-03 MEDICAID (05) Arizona (AZ)
0325678 Other (non-Medicare) (01) Arizona (AZ) NACADP#
03D0864297 Other (non-Medicare) (01) Arizona (AZ) CLIA #
AZ0209600 Other (non-Medicare) (01) Arizona (AZ) BC/BSAZ DENTAL PROV NO

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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.
1215910484
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251810416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22251810416
2 + 2 + 2 + 5 + 1 + 8 + 1 + 0 + 4 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1215910484 is valid because the calculated check digit 4 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
1164425104 ANGELA L JANSSEN
Individual
Physical Therapist PO BOX 32490
PHOENIX, Arizona (AZ)
602-230-4478
1154324150 MARISA LYNN ROWEN
Individual
Pharmacist 839 W CONGRESS ST
TUCSON, Arizona (AZ)
520-670-3805
1154324283 DREXEL HEIGHTS FIRE DISTRICT
Organization
Ambulance, Land Transport 5030 S CAMINO VERDE
TUCSON, Arizona (AZ)
520-883-4341
1023011269 BENIGNO F DECENA
Individual
Internal Medicine, Cardiovascular Disease 4729 E CAMP LOWELL DR
TUCSON, Arizona (AZ)
520-838-3540
1013910157 COLEMAN WADE DAVIDSON
Individual
Obstetrics & Gynecology PO BOX 31235
TUCSON, Arizona (AZ)
520-324-4100