JD ONLINE LLC
NPI 1588408504
Clinic/Center - Multi-Specialty in Liberty Lake, WA
NPI Status: Active since June 24, 2024
Contact Information
23403 E MISSION AVE
SUITE 217
LIBERTY LAKE, WA
ZIP 99019
Phone: (509) 645-2640
Fax: (509) 891-4741
- Organization
- Clinic/Center
- Multi-Specialty
About JD ONLINE LLC
This page provides the complete NPI Profile along with additional information for Jd Online Llc, a provider established in Liberty Lake, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1588408504 assigned on June 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Jared Dean Evans Dmd (Dentist)
- NPI
- 1588408504
- Provider Name
- JD ONLINE LLC
- Entity Type
- Organization
- Location Address
- 23403 E MISSION AVE SUITE 217 LIBERTY LAKE, WA 99019
- Location Phone
- (509) 645-2640
- Location Fax
- (509) 891-4741
- Mailing Address
- 1327 N STANFORD LN LIBERTY LAKE, WA 99019
- Mailing Phone
- (509) 389-9333
- Mailing Fax
- (509) 891-4741
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2024
- Last Update Date
- 06-24-2024
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 302F00000X | Managed Care Organizations | Exclusive Provider Organization |
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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 | 5 | 8 | 8 | 4 | 0 | 8 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 8 | 0 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 8 + 0 + 1 + 6 + 5 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1588408504 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1184163255 | CARYN BAKSIS LMHCA Individual | Counselor (Mental Health) | 23403 E MISSION AVE SUITE 203 LIBERTY LAKE, WA 99019 (509) 795-2757 |
| 1982790630 | C ROSS SIMONDS DDS PS Organization | Dentist (General Practice) | 23403 E MISSION AVE SUITE C LIBERTY LAKE, WA 99019 (509) 893-1119 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588408504, enumerated in the NPI registry as an "organization" on June 24, 2024
The provider is located at 23403 E Mission Ave Suite 217 Liberty Lake, Wa 99019 and the phone number is (509) 645-2640
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
This NPI record was last updated on June 24, 2024. 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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