LONE STAR STATE DERMATOLOGY CLINIC PLLC
NPI 1053723239
Dermatology - Procedural Dermatology in Live Oak, TX

NPI Status: Active since May 22, 2014

Contact Information

11101 TOEPPERWEIN RD
LIVE OAK, TX
ZIP 78233
Phone: (210) 651-3233
Fax: (210) 651-3234

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  • Organization
  • Dermatology
  • Procedural Dermatology

About LONE STAR STATE DERMATOLOGY CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Lone Star State Dermatology Clinic Pllc, a provider established in Live Oak, Texas operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1053723239 assigned on May 2014. The practitioner's primary taxonomy code is 207NS0135X with license number K8022 (TX). The provider is registered as an organization and their NPI record was last updated 2 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 authorized official of this NPI record is Myra Peacock (Office Manager)

NPI
1053723239
Provider Name
LONE STAR STATE DERMATOLOGY CLINIC PLLC
Entity Type
Organization
Location Address
11101 TOEPPERWEIN RD LIVE OAK, TX 78233
Location Phone
(210) 651-3233
Location Fax
(210) 651-3234
Mailing Address
11101 TOEPPERWEIN RD LIVE OAK, TX 78233
Mailing Phone
(210) 651-3233
Mailing Fax
(210) 651-3234
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2014
Last Update Date
12-20-2023
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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

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
K8022
License State
TX
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

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

MYRA PEACOCK

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(210) 651-3233

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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 1053723239, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 5 → 10 → 1 7 → 14 → 5 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 4 + 2 + 6 + 2 + 6 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053723239.

Other Providers at the Same Location


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

Dermatology (Procedural Dermatology)
11101 TOEPPERWEIN RD
LIVE OAK, TX 78233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053723239, enumerated as an "organization" on May 22, 2014.

The provider is located at 11101 TOEPPERWEIN RD LIVE OAK, TX 78233 and the phone number is (210) 651-3233.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.