KIRKSVILLE FOOT & SHOE
NPI 1275905424
Prosthetic/Orthotic Supplier in Kirksville, MO
NPI Status: Active since October 28, 2015
Contact Information
202 N FRANKLIN ST
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 730-5030
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 26D0891142
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 08-30-2026
About KIRKSVILLE FOOT & SHOE
This page provides the complete NPI Profile along with additional information for Kirksville Foot & Shoe, a provider established in Kirksville, Missouri operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1275905424 assigned on October 2015. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ted Deininger Bocop (Owner)
- NPI
- 1275905424
- Provider Name
- KIRKSVILLE FOOT & SHOE
- Entity Type
- Organization
- Location Address
- 202 N FRANKLIN ST KIRKSVILLE, MO 63501
- Location Phone
- (660) 730-5030
- Mailing Address
- 202 N FRANKLIN ST KIRKSVILLE, MO 63501
- Mailing Phone
- (660) 730-5030
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2015
- Last Update Date
- 10-28-2015
- 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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0891142
- Facility Type
- Home Health Agency
- Certificate Effective Date
- August 31, 2024
- Certificate Expiration Date
- August 30, 2026
- Laboratory Director
- LORI RUPP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kirksville Foot & Shoe to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 2 | 7 | 5 | 9 | 0 | 5 | 4 | 2 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 14 | 5 | 18 | 0 | 10 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 4 + 5 + 1 + 8 + 0 + 1 + 0 + 4 + 4 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1275905424 is valid because the calculated check digit 4 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 1275905424, enumerated in the NPI registry as an "organization" on October 28, 2015
The provider is located at 202 N Franklin St Kirksville, Mo 63501 and the phone number is (660) 730-5030
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider's CLIA number is 26D0891142 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 28, 2015. 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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