NORTH TEXAS ID PA
NPI 1215386933
Clinic/Center - Medical Specialty in Plano, TX

NPI Status: Active since June 03, 2016

Contact Information

4517 SOUTHGATE DR
PLANO, TX
ZIP 75024
Phone: (972) 853-7170

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  • Organization
  • Clinic/Center
  • Medical Specialty

About NORTH TEXAS ID PA

This page provides the complete NPI Profile along with additional information for North Texas Id Pa, a provider established in Plano, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1215386933 assigned on June 2016. The practitioner's primary taxonomy code is 261QM2500X with license number M 8773 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Dhiraj Kotwal Md (President)

NPI
1215386933
Provider Name
NORTH TEXAS ID PA
Entity Type
Organization
Location Address
4517 SOUTHGATE DR PLANO, TX 75024
Location Phone
(972) 853-7170
Mailing Address
4517 SOUTHGATE DR PLANO, TX 75024
Mailing Phone
(972) 853-7170
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2016
Last Update Date
06-03-2016
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
M 8773
License State
TX
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. DHIRAJ KOTWAL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(972) 853-7170

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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.
1215386933
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225681296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 8 + 1 + 2 + 9 + 6 + 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 = 33

The NPI number 1215386933 is valid because the calculated check digit 3 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 1215386933, enumerated in the NPI registry as an "organization" on June 03, 2016

The provider is located at 4517 Southgate Dr Plano, Tx 75024 and the phone number is (972) 853-7170

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on June 03, 2016. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.