CHANCE DAREN RILEY IDMT
NPI 1083191159
Military Health Care Provider - Independent Duty Medical Technicians in Sheppard Afb, TX

NPI Status: Active since July 23, 2018

Contact Information

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311
Phone: (409) 676-1954

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About CHANCE RILEY

This page provides the complete NPI Profile along with additional information for Chance Riley, a provider established in Sheppard Afb, Texas with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1083191159 assigned on July 2018. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1083191159
Provider Name
CHANCE DAREN RILEY IDMT
Gender
Male
Entity Type
Individual
Location Address
527 TUSKEGEE AIRMEN AVE SHEPPARD AFB, TX 76311
Location Phone
(409) 676-1954
Mailing Address
3222 CPL JOHNSON RD FORT SAM HOUSTON SAN ANTONIO, TX 78251
Is Sole Proprietor?
No
Enumeration Date
07-23-2018
Last Update Date
10-02-2023
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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

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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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.
1083191159
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163292110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 9 + 2 + 1 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1083191159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BRADLEY ERVIN LCSW

Social Worker

(Clinical)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TN
ZIP 76311

(940) 676-6075

BRADEN ZERBE IDMT

Military Health Care Provider

(Independent Duty Medical Technicians)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AIR FORCE BASE, TX
ZIP 76311

(940) 676-1689

MARTIN TREVINO LCSW, LCDC

Social Worker

(Clinical)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-1103

ALYSSA CHRYSTINE BROWN

General Practice

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-2345

DR. SCOTT WALKER DDS

Dentist

(General Practice)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-4474

SAMANTHA MARIE SCHIRO

Military Health Care Provider

527 TUSKEGEE AIRMEN AVE
BUILDING 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-6075

NATHAN PAUL SHEPARD M.S.P.T., DSCPT

Physical Therapist

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-0160

DR. DANIEL J OH PHARMD, MBA, MHA

Pharmacist

527 TUSKEGEE AIRMEN AVE
BUILDING 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-2276

TONI Y TEPE ARNP

Nurse Practitioner

(Family)

527 TUSKEGEE AIRMEN AVE
BLDG 500
SAFB, TX
ZIP 76311

(940) 676-1243

DR. TERRY L KIRKLAND O.D.

Optometrist

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-6243

JANEL MONTFORT-TUNSTALL MD

Family Medicine

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-1035

WESTLEY SPENCER VICENTE LISW

Social Worker

(Clinical)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-6075

BHAVIKKUMAR DHIRUBHAI PATEL

Pharmacist

527 TUSKEGEE AIRMEN AVE
SHEPPARD, TX
ZIP 76311

(940) 676-6310

TARYN RAMSEY D.O.

Pediatrics

527 TUSKEGEE AIRMEN AVE
BLDG 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-6672

DR. NATASHA YOUSAF MD

Family Medicine

527 TUSKEGEE AIRMEN AVE
BLD 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-1035

DR. LUKE JOSEPH DELAIN DO

Military Health Care Provider

527 TUSKEGEE AIRMEN AVE
BLDG 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-1221

CHRISTOPHER M THIBODEAUX PTA

Physical Therapy Assistant

527 TUSKEGEE AIRMEN AVE
BLDG 500
SHEPPARD AFB, TX
ZIP 76311

(940) 676-4274

MS. OCTAVIA DAWKINS LMSW

Social Worker

527 TUSKEGEE AIRMEN AVE
BLDG 500
WICHITA FALLS, TX
ZIP 76311

(940) 676-6075

MICHAEL J WILKERSON LCSW

Social Worker

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-1420

MS. ROCHELLE MARIE PHELPS L.I.S.W.

Social Worker

(Clinical)

527 TUSKEGEE AIRMEN AVE
SHEPPARD AFB, TX
ZIP 76311

(940) 676-4359

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083191159, enumerated as an "individual" on July 23, 2018.

The provider is located at 527 TUSKEGEE AIRMEN AVE SHEPPARD AFB, TX 76311 and the phone number is (409) 676-1954.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.