MOD-DOC INC.
NPI 1801627096
Nurse Practitioner - Primary Care in Farr West, UT

NPI Status: Active since August 09, 2024

Contact Information

1741 N 2000 W STE 4
FARR WEST, UT
ZIP 84404
Phone: (385) 470-0150
Fax: (385) 325-0186

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  • Organization
  • Nurse Practitioner
  • Primary Care

About MOD-DOC INC.

This page provides the complete NPI Profile along with additional information for Mod-doc Inc., a provider established in Farr West, Utah operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1801627096 assigned on August 2024. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Mod-doc Inc. 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 Dax Beaudoin (Owner / President)

NPI
1801627096
Provider Name
MOD-DOC INC.
Entity Type
Organization
Location Address
1741 N 2000 W STE 4 FARR WEST, UT 84404
Location Phone
(385) 470-0150
Location Fax
(385) 325-0186
Mailing Address
1741 N 2000 W STE 4 FARR WEST, UT 84404
Mailing Phone
(385) 470-0150
Mailing Fax
(385) 325-0186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2024
Last Update Date
08-09-2024
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A nurse practitioner (NP) like Mod-doc Inc. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

DAX BEAUDOIN

Authorized Official Title
OWNER / PRESIDENT
Authorized Official Phone
(801) 828-8682

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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.
1801627096
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280112214018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 2 + 2 + 1 + 4 + 0 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1801627096 is valid because the calculated check digit 6 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
1467184564 MANDI COX NP
Individual
Nurse Practitioner (Family)1741 N 2000 W STE 4
OGDEN, UT 84404
(385) 470-0150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801627096, enumerated in the NPI registry as an "organization" on August 09, 2024

The provider is located at 1741 N 2000 W Ste 4 Farr West, Ut 84404 and the phone number is (385) 470-0150

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on August 09, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.