JEFFERSON DENTAL CENTER, INC.
JEFFERSON DENTAL CENTER, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1760762108, based in South Bend, IN. It is classified under Dental Clinic/Center.
Getting there
The practice address on file is 2628 E JEFFERSON BLVD, South Bend, IN 46615. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 12007912 A | IN | Dental Clinic/Center |
| 12009908 A | IN | Dental Clinic/Center primary |
This provider holds licence 12007912 A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Dental covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QD0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center Dental | 12007912 A | IN | |
| 261QD0000X | Dental Clinic/Center Dental | 12009908 A | IN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1760762108 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 17, 2011 |
| Last updated | Jan 8, 2021 |
| Status | Active |
| Practice address |
2628 E JEFFERSON BLVD South Bend, IN 46615 (574) 233-7266 Fax (574) 233-7560 |
| Other identifiers |
100222700A
· Medicaid (IN) 200496100A · Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 6 | 0 | 7 | 6 | 2 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 5 | 6 | 4 | 1 | 0 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.