CDE SERVICES
NPI 1255985321
Clinic/Center in Boise, ID

NPI Status: Active since July 27, 2019

Contact Information

13150 W PERSIMMON LN
BOISE, ID
ZIP 83713
Phone: (208) 965-0905

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  • Organization
  • Clinic/Center

About CDE SERVICES

This page provides the complete NPI Profile along with additional information for Cde Services, a provider established in Boise, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255985321 assigned on July 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Natalie Domangue-shiflett Md (Director)

NPI
1255985321
Provider Name
CDE SERVICES
Entity Type
Organization
Location Address
13150 W PERSIMMON LN BOISE, ID 83713
Location Phone
(208) 965-0905
Mailing Address
13150 W PERSIMMON LN BOISE, ID 83713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2019
Last Update Date
07-27-2019
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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
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

DR. NATALIE DOMANGUE-SHIFLETT MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(208) 965-0905

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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.
1255985321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051881034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 8 + 1 + 0 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1255985321 is valid because the calculated check digit 1 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
1114172723SL VISION PLLC
Organization
Optometrist (Vision Therapy)13150 W PERSIMMON LN
BOISE, ID 83713
(208) 939-0510
1487307468IDAHO ADVANCED MEDICAL CARE LLC
Organization
Nurse Practitioner13150 W PERSIMMON LN
BOISE, ID 83713
(818) 915-4545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255985321, enumerated in the NPI registry as an "organization" on July 27, 2019

The provider is located at 13150 W Persimmon Ln Boise, Id 83713 and the phone number is (208) 965-0905

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

This NPI record was last updated on July 27, 2019. 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.