UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC
NPI 1073767240
Clinic/Center - Medical Specialty in Sun City, AZ

NPI Status: Active since November 13, 2008

Contact Information

14666 N DEL WEBB BLVD
SUN CITY, AZ
ZIP 85351
Phone: (623) 933-3107
Fax: (623) 972-1418

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 03D1092188
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2027

About UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC

This page provides the complete NPI Profile along with additional information for Updegraff Clinic For Allergy & Dermatology Pc, a provider established in Sun City, Arizona operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1073767240 assigned on November 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 10896 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Bryan Robert Updegraff M.d. (President)

NPI
1073767240
Provider Name
UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC
Entity Type
Organization
Location Address
14666 N DEL WEBB BLVD SUN CITY, AZ 85351
Location Phone
(623) 933-3107
Location Fax
(623) 972-1418
Mailing Address
14666 N DEL WEBB BLVD SUN CITY, AZ 85351
Mailing Phone
(623) 933-3107
Mailing Fax
(623) 972-1418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2008
Last Update Date
01-15-2024
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
10896
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. BRYAN ROBERT UPDEGRAFF M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(623) 933-3107

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
03D1092188
Facility Type
Physician Office
Certificate Effective Date
September 01, 2025
Certificate Expiration Date
August 31, 2027
Laboratory Director
BRYAN R. UPDEGRAFF, MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Updegraff Clinic For Allergy & Dermatology Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1073767240, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 4 + 6 + 1 + 4 + 2 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073767240.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dermatology
14666 N DEL WEBB BLVD
SUN CITY, AZ 85351
Dermatology (Clinical & Laboratory Dermatological Immunology)
14666 N DEL WEBB BLVD
SUN CITY, AZ 85351

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073767240, enumerated as an "organization" on November 13, 2008.

The provider is located at 14666 N DEL WEBB BLVD SUN CITY, AZ 85351 and the phone number is (623) 933-3107.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.