KEATON JAMES RIDER
NPI 1083369938
Military Health Care Provider - Independent Duty Medical Technicians in Cannon Afb, NM
NPI Status: Active since February 18, 2022
Contact Information
104 W D.L. INGRAM AVE
CANNON AFB, NM
ZIP 88101
Phone: (575) 784-2778
- Individual
- Male
- Military Health Care Provider
- Independent Duty Medical Technicians
About KEATON RIDER
This page provides the complete NPI Profile along with additional information for Keaton Rider, a provider established in Cannon Afb, New Mexico 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 1083369938 assigned on February 2022. The practitioner's primary taxonomy code is 1710I1003X with license number L5ALJ4N051C00AB (TX). The provider is registered as an individual and his NPI record was last updated 4 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.
- NPI
- 1083369938
- Provider Name
- KEATON JAMES RIDER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 104 W D.L. INGRAM AVE CANNON AFB, NM 88101
- Location Phone
- (575) 784-2778
- Mailing Address
- 6948 CAMPOS AVE UNIT B JBER, AK 99506
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-18-2022
- Last Update Date
- 08-02-2022
- 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
Military Health Care Provider Independent Duty Medical Technicians
- Taxonomy Code
- 1710I1003X
- Type
- Other Service Providers
- License No.
- L5ALJ4N051C00AB
- License State
- TX
- 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.
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.
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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 1083369938, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083369938, enumerated as an "individual" on February 18, 2022.
The provider is located at 104 W D.L. INGRAM AVE CANNON AFB, NM 88101 and the phone number is (575) 784-2778.
Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.
