MR. JOHN THOMAS JACKSON LMP
NPI 1093867723
Specialist in Des Moines, WA
NPI Status: Active since January 16, 2007
Contact Information
22007 MARINE VIEW DR S
SUITE 104
DES MOINES, WA
ZIP 98198
Phone: (206) 592-1423
Fax: (206) 592-1428
- Individual
- Male
- Specialist
About JOHN JACKSON
This page provides the complete NPI Profile along with additional information for John Jackson, a provider established in Des Moines, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1093867723 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number MA00005314 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1093867723
- Provider Name
- MR. JOHN THOMAS JACKSON LMP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22007 MARINE VIEW DR S SUITE 104 DES MOINES, WA 98198
- Location Phone
- (206) 592-1423
- Location Fax
- (206) 592-1428
- Mailing Address
- PO BOX 98530 DES MOINES, WA 98198
- Mailing Phone
- (206) 592-1423
- Mailing Fax
- (206) 592-1428
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-16-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MA00005314
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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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. | |||||||||
| 1 | 0 | 9 | 3 | 8 | 6 | 7 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 16 | 6 | 14 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 6 + 6 + 1 + 4 + 7 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1093867723 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760546139 | MR. JEROME E SCANLON P.T. Individual | Physical Therapist | 22007 MARINE VIEW DR S SUITE 203 DES MOINES, WA 98198 (206) 592-0568 |
| 1700221041 | ZHOU, D.D.S., PH.D., PLLC Organization | Dentist (General Practice) | 22007 MARINE VIEW DR S APT#101 DES MOINES, WA 98198 (206) 878-5300 |
| 1700941986 | HENG ZHOU DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 22007 MARINE VIEW DR S #101 DES MOINES, WA 98198 (206) 878-5300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093867723, enumerated in the NPI registry as an "individual" on January 16, 2007
The provider is located at 22007 Marine View Dr S Suite 104 Des Moines, Wa 98198 and the phone number is (206) 592-1423
The provider's speciality is Specialist with taxonomy code 174400000X
This NPI record was last updated on January 16, 2007. 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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