MR. RICHARD DEAN WALLACE LICAC
NPI 1750458402
Nutritionist in Great Falls, MT
NPI Status: Active since November 29, 2006
Contact Information
914 13TH AVE SOUTH
GREAT FALLS, MT
ZIP 59405
Phone: (406) 761-3767
Fax: (406) 761-3038
- Individual
- Male
- Nutritionist
About RICHARD WALLACE
This page provides the complete NPI Profile along with additional information for Richard Wallace, a provider established in Great Falls, Montana with a medical specialization in Nutritionist. The healthcare provider is registered in the NPI registry with number 1750458402 assigned on November 2006. The practitioner's primary taxonomy code is 133N00000X with license number 450 (MT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1750458402
- Provider Name
- MR. RICHARD DEAN WALLACE LICAC
- Other Name
- MR. RICHARD DEAN WALLACE RD
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 914 13TH AVE SOUTH GREAT FALLS, MT 59405
- Location Phone
- (406) 761-3767
- Location Fax
- (406) 761-3038
- Mailing Address
- 914 13TH AVE SOUTH GREAT FALLS, MT 59405
- Mailing Phone
- (406) 761-3767
- Mailing Fax
- (406) 761-3038
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 07-08-2007
- 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
Nutritionist
- Taxonomy Code
- 133N00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 450
- License State
- MT
- Taxonomy Description
- A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
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) |
|---|
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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 | 7 | 5 | 0 | 4 | 5 | 8 | 4 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 5 | 16 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 5 + 1 + 6 + 4 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1750458402 is valid because the calculated check digit 2 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 1750458402, enumerated in the NPI registry as an "individual" on November 29, 2006
The provider is located at 914 13th Ave South Great Falls, Mt 59405 and the phone number is (406) 761-3767
The provider's speciality is Nutritionist with taxonomy code 133N00000X
This NPI record was last updated on November 29, 2006. 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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