TEEN CARE CENTER
NPI 1033614334
Pediatrics - Adolescent Medicine in Montrose, CO

NPI Status: Active since March 28, 2018

Contact Information

910 S 4TH ST
MONTROSE, CO
ZIP 81401
Phone: (970) 249-2421
Fax: (970) 249-1203

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 06D2145039
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-26-2026

About TEEN CARE CENTER

This page provides the complete NPI Profile along with additional information for Teen Care Center, a pediatrician established in Montrose, Colorado operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1033614334 assigned on March 2018. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 8 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 Teen Care Center. The authorized official of this NPI record is Amber Hickert (Practice Administrator)

NPI
1033614334
Provider Legal Name
PEDIATRIC ASSOCIATES PROF LLC
Other Organization Name
TEEN CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
910 S 4TH ST MONTROSE, CO 81401
Location Phone
(970) 249-2421
Location Fax
(970) 249-1203
Mailing Address
947 S 5TH ST MONTROSE, CO 81401
Mailing Phone
(970) 249-2421
Mailing Fax
(970) 249-1203
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2018
Last Update Date
03-28-2018
Code Navigator

A pediatrician like Teen Care Center 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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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

AMBER HICKERT

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(970) 249-2421

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
06D2145039
Facility Type
Physician Office
Certificate Effective Date
February 27, 2024
Certificate Expiration Date
February 26, 2026
Laboratory Director
DR. ROMEO ICASIANO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Teen Care Center 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 1033614334, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
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 3 → 6 6 → 12 → 3 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 1 + 2 + 1 + 8 + 3 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1033614334.

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The following 11 providers are registered at the same or a nearby location.

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Orthopaedic Surgery
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Orthopaedic Surgery
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Orthopaedic Surgery
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033614334, enumerated as an "organization" on March 28, 2018.

The provider is located at 910 S 4TH ST MONTROSE, CO 81401 and the phone number is (970) 249-2421.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.