ERNESTO PACHECO DENTAL CLINIC
NPI 1396734893
Clinic/center, Dental in San Luis,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 18, 2005

Contact Information

Unit 1 B At 233 Main Street
San Luis,
Post Code: 81152
Phone: (719) 672-3352
Fax: (719) 672-3638

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Ernesto Pacheco Dental Clinic in San Luis - Clinic/Center, Dental

Ernesto Pacheco Dental Clinic is a Clinic/Center, Dental in San Luis, . Ernesto Pacheco Dental Clinic practices all healthcare services and medical treatments related to Clinic/Center, Dental. The NPI Number for Ernesto Pacheco Dental Clinic is 1396734893. The last update date is 2024-04-30.

Ernesto Pacheco Dental Clinic's current location address is Unit 1 B At 233 Main Street, San Luis, . You can contact this provider via phone number (719) 672-3352 and fax number (719) 672-3638. The mailing address for Ernesto Pacheco Dental Clinic is Unit 1 B At 233 Main Street, San Luis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1396734893
Provider Legal Name
VALLEY-WIDE HEALTH SYSTEMS, INC
Other Organization Name
ERNESTO PACHECO DENTAL CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
Unit 1 B At 233 Main Street, San Luis,
Location Phone
(719) 672-3352
Location Fax
(719) 672-3638
Mailing Address
128 Market St, Alamosa, Colorado(CO)
Mailing Phone
719-587-1001
Mailing Fax
-
Enumeration Date
2005-10-18
Last Update Date
2024-04-30
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

Clinic/Center, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
Colorado (CO)
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 261QD0000X Dental Clinic/Center

Clinic/Center, Dental

()

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
13984772 MEDICAID (05) Colorado (CO)
480030 Other (non-Medicare) (01) Colorado (CO) Delta Dental

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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.
1396734893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861438818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 231861438818
2 + 3 + 1 + 8 + 6 + 1 + 4 + 3 + 8 + 8 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 3 3

The NPI number 1396734893 is valid because the calculated check digit 3 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
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1154324168 COLORADO PROFESSIONAL MEDICAL, INC
Organization
Prosthetic/Orthotic Supplier 175 S UNION BLVD
COLORADO SPRINGS, Colorado (CO)
719-632-5075
1104829118 KENNETH BILLINGS ALLEN
Individual
Dentist, General Practice 1337 RIVERSIDE AVE
FORT COLLINS, Colorado (CO)
970-221-1658
1346243516 TERRY S WADE
Individual
Family Medicine 255 S GRAND MESA DR
CEDAREDGE, Colorado (CO)
970-856-4111
1164425336 BIOSCRIP PHARMACY(NY), INC
BIOSCRIP INFUSION SERVICES
Organization
Home Health 1 VERMONT DR.
LAKE SUCCESS, New York (NY)
877-501-0108