JAKE W. LANDRETH, DC
NPI 1124308952
Clinic/Center in Collinsville, OK

NPI Status: Active since August 24, 2011

Contact Information

111 S 11TH ST
COLLINSVILLE, OK
ZIP 74021
Phone: (991) 837-1284
Fax: (918) 553-8802

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  • Clinic/Center

About JAKE W. LANDRETH, DC

This page provides the complete NPI Profile along with additional information for Jake W. Landreth, Dc, a provider established in Collinsville, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124308952 assigned on August 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 4002 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Jake W. Landreth, Dc. The authorized official of this NPI record is Jake W Landreth Dc (Owner)

NPI
1124308952
Provider Legal Name
GOODSPINE PLC
Other Organization Name
JAKE W. LANDRETH, DC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
111 S 11TH ST COLLINSVILLE, OK 74021
Location Phone
(991) 837-1284
Location Fax
(918) 553-8802
Mailing Address
PO BOX 877 SKIATOOK, OK 74070
Mailing Phone
(918) 371-2848
Mailing Fax
(918) 553-8802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2011
Last Update Date
10-30-2014
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
4002
License State
OK
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

JAKE W LANDRETH DC

Authorized Official Title
OWNER
Authorized Official Phone
(918) 521-8888

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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.
1124308952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21446016910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 0 + 1 + 6 + 9 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1124308952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124308952, enumerated in the NPI registry as an "organization" on August 24, 2011

The provider is located at 111 S 11th St Collinsville, Ok 74021 and the phone number is (991) 837-1284

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on August 24, 2011. 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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