DR. DALE MICHAEL WILLIS M.D.
NPI 1013978378
Pediatrics - Pediatric Endocrinology in Portland, OR

NPI Status: Active since March 28, 2006

Contact Information

9155 SW BARNES RD
SUITE 931
PORTLAND, OR
ZIP 97225
Phone: (503) 216-6050

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Endocrinology

About DALE WILLIS

This page provides the complete NPI Profile along with additional information for Dale Willis, a pediatrician established in Portland, Oregon with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1013978378 assigned on March 2006. The practitioner's primary taxonomy code is 2080P0205X with license number MD22738 (OR). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1013978378
Provider Name
DR. DALE MICHAEL WILLIS M.D.
Gender
Male
Entity Type
Individual
Location Address
9155 SW BARNES RD SUITE 931 PORTLAND, OR 97225
Location Phone
(503) 216-6050
Mailing Address
PO BOX 3158 PORTLAND, OR 97208
Is Sole Proprietor?
No
Enumeration Date
03-28-2006
Last Update Date
03-04-2015
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A pediatrician like Dale Willis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
License No.
MD22738
License State
OR
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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
287841MEDICAID (05)OR 
F40451MEDICARE UPIN (02)OR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013978378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 7 + 1 + 6 + 3 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1013978378.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
9155 SW BARNES RD, STE 740
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 418
PORTLAND, OR 97225
Ophthalmology
9155 SW BARNES RD, 336
PORTLAND, OR 97225
Plastic Surgery (Surgery of the Hand)
9155 SW BARNES RD, STE 220
PORTLAND, OR 97225
Surgery
9155 SW BARNES RD, STE 217
PORTLAND, OR 97225
Urology
9155 SW BARNES RD, SUITE 836
PORTLAND, OR 97225
Physician Assistant
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Neurological Surgery
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 340
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, STE 204
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9155 SW BARNES RD, #204
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 238
PORTLAND, OR 97225
Otolaryngology
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Clinic/Center
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9155 SW BARNES RD, STE 240
PORTLAND, OR 97225
Physician Assistant (Surgical)
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013978378, enumerated as an "individual" on March 28, 2006.

The provider is located at 9155 SW BARNES RD SUITE 931 PORTLAND, OR 97225 and the phone number is (503) 216-6050.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.