KEVIN MATTESON MD PC
NPI 1063669786
Specialist in Cortez, CO

NPI Status: Active since August 25, 2008

Contact Information

111 N PARK ST
CORTEZ, CO
ZIP 81321
Phone: (970) 565-6670
Fax: (970) 565-6673

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Specialist

About KEVIN MATTESON MD PC

This page provides the complete NPI Profile along with additional information for Kevin Matteson Md Pc, a provider established in Cortez, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1063669786 assigned on August 2008. The practitioner's primary taxonomy code is 174400000X with license number 39709 (CO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kevin M Matteson Md (President)

NPI: 1063669786
Provider Name: KEVIN MATTESON MD PC
Entity Type: Organization
Location Address: 111 N PARK ST CORTEZ, CO 81321
Location Phone: (970) 565-6670
Location Fax: (970) 565-6673
Mailing Address: 111 N PARK ST CORTEZ, CO 81321
Mailing Phone: (970) 565-6670
Mailing Fax: (970) 565-6673
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-25-2008
Last Update Date: 08-25-2008
Code Navigator

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: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
License No.: 39709
License State: CO
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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: KEVIN M MATTESON MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (970) 565-6670

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	6	3	6	6	9	7	8	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	12	3	12	6	18	7	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 8 + 7 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1063669786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.