TRISTATE PAIN INSTITUTE
NPI 1023302643
Non-Pharmacy Dispensing Site in Fort Mohave, AZ

NPI Status: Active since May 31, 2011

Contact Information

1510 WAGON WHEEL LANE
SUITE 110
FORT MOHAVE, AZ
ZIP 86426
Phone: (928) 788-3333
Fax: (928) 788-3555

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  • Organization
  • Non-Pharmacy Dispensing Site

About TRISTATE PAIN INSTITUTE

This page provides the complete NPI Profile along with additional information for Tristate Pain Institute, a provider established in Fort Mohave, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1023302643 assigned on May 2011. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Tristate Pain Institute. The authorized official of this NPI record is Joann Venger (Owner)

NPI
1023302643
Provider Legal Name
TRI-STATE MEDICAL SPECIALISTS LLC
Other Organization Name
TRISTATE PAIN INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1510 WAGON WHEEL LANE SUITE 110 FORT MOHAVE, AZ 86426
Location Phone
(928) 788-3333
Location Fax
(928) 788-3555
Mailing Address
PO BOX 10966 FORT MOHAVE, AZ 86427
Mailing Phone
(928) 788-3333
Mailing Fax
(928) 788-3555
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-31-2011
Last Update Date
07-19-2022
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

JOANN VENGER

Authorized Official Title
OWNER
Authorized Official Phone
(928) 788-3333

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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 1023302643, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 2 → 4 3 → 6 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 6 + 0 + 4 + 6 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1023302643.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023302643, enumerated as an "organization" on May 31, 2011.

The provider is located at 1510 WAGON WHEEL LANE SUITE 110 FORT MOHAVE, AZ 86426 and the phone number is (928) 788-3333.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.