WEST TEXAS REGENERATIVE MEDICINE CLINIC
NPI 1750654984
Physical Medicine & Rehabilitation in Canyon, TX

NPI Status: Active since February 19, 2012

Contact Information

1701 5TH AVE
STE A
CANYON, TX
ZIP 79015
Phone: (806) 655-4878
Fax: (806) 655-8790

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  • Organization
  • Physical Medicine & Rehabilitation

About WEST TEXAS REGENERATIVE MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for West Texas Regenerative Medicine Clinic, a provider established in Canyon, Texas operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1750654984 assigned on February 2012. The practitioner's primary taxonomy code is 208100000X with license number K5914 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. West Texas Regenerative Medicine Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Keith E Dyer Md (Owner-provider)

NPI
1750654984
Provider Name
WEST TEXAS REGENERATIVE MEDICINE CLINIC
Entity Type
Organization
Location Address
1701 5TH AVE STE A CANYON, TX 79015
Location Phone
(806) 655-4878
Location Fax
(806) 655-8790
Mailing Address
3501 S SONCY STE 1001 AMARILLO, TX 79119
Mailing Phone
(806) 367-8719
Mailing Fax
(806) 655-8790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2012
Last Update Date
07-17-2013
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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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
K5914
License State
TX
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

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)
1111N00000XChiropractic Providers

Chiropractor

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KEITH E DYER MD

Authorized Official Title
OWNER-PROVIDER
Authorized Official Phone
(806) 367-8719

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
TXB155856MEDICARE PIN (08)TX 

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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.
1750654984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001258916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 8 + 9 + 1 + 6 + 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 = 44

The NPI number 1750654984 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295915049DR. RUSSELL RONALD KERSHEN D.C.
Individual
Chiropractor1701 5TH AVE
CANYON, TX 79015
(806) 655-8777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750654984, enumerated in the NPI registry as an "organization" on February 19, 2012

The provider is located at 1701 5th Ave Ste A Canyon, Tx 79015 and the phone number is (806) 655-4878

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 208100000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 19, 2012. 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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