ATHENIX BODY SCULPTING
NPI 1023530094
Surgery - Plastic and Reconstructive Surgery in Beaverton, OR

NPI Status: Active since July 12, 2017

Contact Information

17885 NW EVERGREEN PKWY
BEAVERTON, OR
ZIP 97006
Phone: (971) 246-5291

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery
  • CLIA Number: 38D2108695
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-08-2026

About ATHENIX BODY SCULPTING

This page provides the complete NPI Profile along with additional information for Athenix Body Sculpting, a provider established in Beaverton, Oregon operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1023530094 assigned on July 2017. The practitioner's primary taxonomy code is 2086S0122X with license number 16741689 (OR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Athenix Body Sculpting. The authorized official of this NPI record is Christina Gillett (Insurance Specialist)

NPI
1023530094
Provider Legal Name
NORTHWEST SURGICAL DEVELOPMENT
Other Organization Name
ATHENIX BODY SCULPTING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17885 NW EVERGREEN PKWY BEAVERTON, OR 97006
Location Phone
(971) 246-5291
Mailing Address
65 ENTERPRISE STE 125 ALISO VIEJO, CA 92656
Mailing Phone
(949) 600-9941
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2017
Last Update Date
07-12-2017
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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

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
16741689
License State
OR
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

CHRISTINA GILLETT

Authorized Official Title
INSURANCE SPECIALIST
Authorized Official Phone
(949) 600-9941

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2108695
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 09, 2024
Certificate Expiration Date
February 08, 2026
Laboratory Director
GAVIN DRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Athenix Body Sculpting to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1023530094, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 5 → 10 → 1 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 1 + 0 + 3 + 0 + 0 + 1 + 8 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1023530094.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Medicine & Rehabilitation
17885 NW EVERGREEN PKWY
BEAVERTON, OR 97006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023530094, enumerated as an "organization" on July 12, 2017.

The provider is located at 17885 NW EVERGREEN PKWY BEAVERTON, OR 97006 and the phone number is (971) 246-5291.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.