SHAKOPEE PAIN CLINIC
NPI 1073976601
Health Maintenance Organization in Shakopee, MN
NPI Status: Active since March 31, 2016
Contact Information
255 1ST AVE E
SHAKOPEE, MN
ZIP 55379
Phone: (952) 777-2990
- Organization
- Health Maintenance Organization
- CLIA Number: 24D2215793
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About SHAKOPEE PAIN CLINIC
This page provides the complete NPI Profile along with additional information for Shakopee Pain Clinic, a provider established in Shakopee, Minnesota operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1073976601 assigned on March 2016. The practitioner's primary taxonomy code is 302R00000X with license number 866867100036 (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Antonio Barrientez (Owner)
- NPI
- 1073976601
- Provider Name
- SHAKOPEE PAIN CLINIC
- Entity Type
- Organization
- Location Address
- 255 1ST AVE E SHAKOPEE, MN 55379
- Location Phone
- (952) 777-2990
- Mailing Address
- 255 1ST AVE E SHAKOPEE, MN 55379
- Mailing Phone
- (952) 777-2990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2016
- Last Update Date
- 03-31-2016
- 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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- 866867100036
- License State
- MN
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
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
- 24D2215793
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 08, 2021
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- JUSTIN PELTOLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Shakopee Pain Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1073976601, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073976601, enumerated as an "organization" on March 31, 2016.
The provider is located at 255 1ST AVE E SHAKOPEE, MN 55379 and the phone number is (952) 777-2990.
Health Maintenance Organization with taxonomy code 302R00000X.
