MR. CHADDRICK LENDON JACK
NPI 1922068246
Military Health Care Provider - Independent Duty Corpsman in Corpus Christi, TX
NPI Status: Active since March 23, 2006
Contact Information
10651 E ST
CORPUS CHRISTI, TX
ZIP 78419
Phone: (361) 961-2688
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About CHADDRICK JACK
This page provides the complete NPI Profile along with additional information for Chaddrick Jack, a provider established in Corpus Christi, Texas with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1922068246 assigned on March 2006. The practitioner's primary taxonomy code is 1710I1002X with license number 1710I1002X (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1922068246
- Provider Name
- MR. CHADDRICK LENDON JACK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10651 E ST CORPUS CHRISTI, TX 78419
- Location Phone
- (361) 961-2688
- Mailing Address
- 10651 E ST CORPUS CHRISTI, TX 78419
- Mailing Phone
- (361) 961-2688
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 02-06-2008
- 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
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- License No.
- 1710I1002X
- License State
- TX
- Taxonomy Description
- A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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.
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 |
|---|---|---|---|
| 1710I1002X | OTHER (01) | TX | INDEPENDENT DUTY CORPSMAN |
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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 | 9 | 2 | 2 | 0 | 6 | 8 | 2 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 0 | 6 | 16 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 0 + 6 + 1 + 6 + 2 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1922068246 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306849286 | DR. WILLIAM G. BECK PH.D. Individual | Specialist | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6000 |
| 1275534950 | DR. TIMOTHY WILLIAM HALENKAMP M.D. MPH Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6166 |
| 1649262874 | DR. DEIRDRE ANNE KRAUSE PH.D., ARNP, BC Individual | Nurse Practitioner (Family) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6037 |
| 1669458238 | DR. CELIA ABELEDA GO-MALIWANAG M.D. Individual | Pediatrics | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6000 |
| 1164407888 | DR. CAROLYN RUTH FRANKLIN M.D. Individual | Family Medicine | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6000 |
| 1922084946 | DR. MICHAEL MARIO MASTERS PT Individual | Physical Therapist (Orthopedic) | 10651 E ST PHYSICAL THERAPY DEPARTMENT CORPUS CHRISTI, TX 78419 (361) 561-2688 |
| 1356328603 | DR. DAVID JEREMY SOHL PHARMD Individual | Pharmacist | 10651 E ST NAVAL HOSPITAL CORPUS CHRISTI PHARMACY CORPUS CHRISTI, TX 78419 (361) 961-6053 |
| 1124005178 | DR. CHAD BRADFORD M.D. Individual | Psychiatry & Neurology (Psychiatry) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-3620 |
| 1316924319 | DR. ROBIN MARIE LEWIS PSY.D Individual | Psychologist | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 391-3620 |
| 1255310991 | CHARLOTTE NAOMI WEISS LMSW-ACP Individual | Counselor (Mental Health) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-3620 |
| 1669451118 | MRS. ERIN G WILSON R.D.,L.D.,C.D.E Individual | Dietitian, Registered (Nutrition, Metabolic) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6094 |
| 1043299423 | JOSE ENRIQUE NIEVES PA-C Individual | Physician Assistant (Medical) | 10651 E ST NAVAL HOSPITAL CORPUS CHRISTI DEPARTMENT FAMILY PRACTIC CORPUS CHRISTI, TX 78419 (361) 961-2688 |
| 1679553796 | DR. LOUIS HECTOR DE LA GARZA JR. DDS Individual | Dentist (General Practice) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-3838 |
| 1336110451 | UN-KYONG SUZIE ARCHER NP-FAMILY Individual | Nurse Practitioner (Family) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 939-7823 |
| 1063485324 | MRS. MICHELLE PEREZ-VEGA LMSW Individual | Social Worker | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-4311 |
| 1235102831 | DR. JESSIE PRUETT JACOBS DMD Individual | Dentist | 10651 E ST ATTN: MARIA A. VILLAGOMEZ CORPUS CHRISTI, TX 78419 (361) 961-4311 |
| 1326014051 | LORRI ALICE HALENKAMP ARNP, CNM Individual | Nurse Practitioner (Women's Health) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6163 |
| 1568439933 | MR. LEE E PRADIA JR. IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 10651 E ST NAVAL HOSPITAL CORPUS CHRISTI, TX 78419 (361) 961-6190 |
| 1124097720 | MICHAEL DAVIS Individual | Military Health Care Provider (Independent Duty Corpsman) | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-6089 |
| 1134184187 | DR. TOBIAH SPINK PHARMD RPH Individual | Pharmacist | 10651 E ST CORPUS CHRISTI, TX 78419 (361) 961-4311 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922068246, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 10651 E St Corpus Christi, Tx 78419 and the phone number is (361) 961-2688
The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman
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 March 23, 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].
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.