MIMI'S
NPI 1063661809
Exclusive Provider Organization in Austin, TX

NPI Status: Active since September 17, 2008

Contact Information

12636 RESEARCH BLVD
SUITE C 109
AUSTIN, TX
ZIP 78759
Phone: (512) 470-5943
Fax: (512) 231-1182

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  • Organization
  • Exclusive Provider Organization

About MIMI'S

This page provides the complete NPI Profile along with additional information for Mimi's, a provider established in Austin, Texas operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1063661809 assigned on September 2008. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Pat Canter Brenner (Owner/operator)

NPI
1063661809
Provider Name
MIMI'S
Entity Type
Organization
Location Address
12636 RESEARCH BLVD SUITE C 109 AUSTIN, TX 78759
Location Phone
(512) 470-5943
Location Fax
(512) 231-1182
Mailing Address
12636 RESEARCH BLVD SUITE C 109 AUSTIN, TX 78759
Mailing Phone
(512) 470-5943
Mailing Fax
(512) 231-1182
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2008
Last Update Date
09-17-2008
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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

MRS. PAT CANTER BRENNER

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(512) 470-5943

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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.
1063661809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123126280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 2 + 8 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063661809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306275565 CYNTHIA BENNETT LMT
Individual
Massage Therapist12636 RESEARCH BLVD STE C206
AUSTIN, TX 78759
(512) 653-7638
1720009483DARRIN HOLLIS DOTSON OD PA
Organization
Optometrist12636 RESEARCH BLVD #106-B
AUSTIN, TX 78759
(512) 335-2020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063661809, enumerated in the NPI registry as an "organization" on September 17, 2008

The provider is located at 12636 Research Blvd Suite C 109 Austin, Tx 78759 and the phone number is (512) 470-5943

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

This NPI record was last updated on September 17, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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