CORDELL DESTREY HARRIS
NPI 1285277145
Rehabilitation Practitioner in Las Vegas, NV

NPI Status: Active since October 23, 2019

Contact Information

4170 S DECATUR BLVD STE D9
LAS VEGAS, NV
ZIP 89103
Phone: (702) 763-7443
Fax: (866) 284-1860

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  • Individual
  • Male
  • Rehabilitation Practitioner

About CORDELL HARRIS

This page provides the complete NPI Profile along with additional information for Cordell Harris, a provider established in Las Vegas, Nevada with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1285277145 assigned on October 2019. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1285277145
Provider Name
CORDELL DESTREY HARRIS
Gender
Male
Entity Type
Individual
Location Address
4170 S DECATUR BLVD STE D9 LAS VEGAS, NV 89103
Location Phone
(702) 763-7443
Location Fax
(866) 284-1860
Mailing Address
4170 S DECATUR BLVD STE D9 LAS VEGAS, NV 89103
Mailing Phone
(702) 763-7443
Mailing Fax
(866) 284-1860
Is Sole Proprietor?
No
Enumeration Date
10-23-2019
Last Update Date
10-23-2019
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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

Rehabilitation Practitioner

Taxonomy Code
225400000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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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.
1285277145
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165471418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 7 + 1 + 4 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285277145 is valid because the calculated check digit 5 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
1881245801 AARON BURCIAGA LMT
Individual
Massage Therapist4170 S DECATUR BLVD STE D9
LAS VEGAS, NV 89103
(702) 763-7443
1578108023LEGACY COUNSELING AND WORKFORCE CONNECTIONS
Organization
Non-emergency Medical Transport (VAN)4170 S DECATUR BLVD STE D9
LAS VEGAS, NV 89103
(702) 763-7443
1700499761 ALEJANDRA VILLALOBOS
Individual
Case Manager/Care Coordinator4170 S DECATUR BLVD STE D9
LAS VEGAS, NV 89103
(702) 763-7443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285277145, enumerated in the NPI registry as an "individual" on October 23, 2019

The provider is located at 4170 S Decatur Blvd Ste D9 Las Vegas, Nv 89103 and the phone number is (702) 763-7443

The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X

This NPI record was last updated on October 23, 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].
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