MR. JOHN THOMAS JACKSON LMP
NPI 1093867723
Specialist in Des Moines, WA

NPI Status: Active since January 16, 2007

Contact Information

22007 MARINE VIEW DR S
SUITE 104
DES MOINES, WA
ZIP 98198
Phone: (206) 592-1423
Fax: (206) 592-1428

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  • Individual
  • Male
  • Specialist

About JOHN JACKSON

This page provides the complete NPI Profile along with additional information for John Jackson, a provider established in Des Moines, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1093867723 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number MA00005314 (WA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1093867723
Provider Name
MR. JOHN THOMAS JACKSON LMP
Gender
Male
Entity Type
Individual
Location Address
22007 MARINE VIEW DR S SUITE 104 DES MOINES, WA 98198
Location Phone
(206) 592-1423
Location Fax
(206) 592-1428
Mailing Address
PO BOX 98530 DES MOINES, WA 98198
Mailing Phone
(206) 592-1423
Mailing Fax
(206) 592-1428
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2007
Last Update Date
07-08-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MA00005314
License State
WA
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.

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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 1093867723, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 6 + 6 + 1 + 4 + 7 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1093867723.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
22007 MARINE VIEW DR S, SUITE 203
DES MOINES, WA 98198
Dentist (General Practice)
22007 MARINE VIEW DR S, APT#101
DES MOINES, WA 98198
Dentist (Oral and Maxillofacial Surgery)
22007 MARINE VIEW DR S, #101
DES MOINES, WA 98198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093867723, enumerated as an "individual" on January 16, 2007.

The provider is located at 22007 MARINE VIEW DR S SUITE 104 DES MOINES, WA 98198 and the phone number is (206) 592-1423.

Specialist with taxonomy code 174400000X.