PERFORMANCE FOOT AND ANKLE CENTER LLC
NPI 1104004290
Podiatrist in Orland Park, IL

NPI Status: Active since January 31, 2008

Contact Information

15300 WEST AVE
SUITE 210
ORLAND PARK, IL
ZIP 60462
Phone: (708) 873-9440
Fax: (708) 873-1862

Get Directions Write a Review

  • Organization
  • Podiatrist

About PERFORMANCE FOOT AND ANKLE CENTER LLC

This page provides the complete NPI Profile along with additional information for Performance Foot And Ankle Center Llc, a provider established in Orland Park, Illinois operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1104004290 assigned on January 2008. The practitioner's primary taxonomy code is 213E00000X with license number 016004747 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Dale S Brink Dpm (Owner)

NPI
1104004290
Provider Name
PERFORMANCE FOOT AND ANKLE CENTER LLC
Entity Type
Organization
Location Address
15300 WEST AVE SUITE 210 ORLAND PARK, IL 60462
Location Phone
(708) 873-9440
Location Fax
(708) 873-1862
Mailing Address
401 E 162ND ST SUITE 101 SOUTH HOLLAND, IL 60473
Mailing Phone
(708) 596-3757
Mailing Fax
(708) 873-1862
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-31-2008
Last Update Date
07-16-2015
Code Navigator

A podiatrist like Performance Foot And Ankle Center Llc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
016004747
License State
IL
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

5000520001 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. DALE S BRINK DPM

Authorized Official Title
OWNER
Authorized Official Phone
(708) 596-3757

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5000520001MEDICARE NSC (07)IL 
207792MEDICARE PIN (08) 

Reviews for PERFORMANCE FOOT AND ANKLE CENTER LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1104004290, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 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 0 → 0 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 0 + 8 + 2 + 1 + 8 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104004290.

Other Providers at the Same Location


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

Surgery
15300 WEST AVE
ORLAND PARK, IL 60462
Plastic Surgery
15300 WEST AVE, SUITE 310
ORLAND PARK, IL 60462
Internal Medicine
15300 WEST AVE, #225
ORLAND PARK, IL 60462
Social Worker (Clinical)
15300 WEST AVE, SUITE 313
ORLAND PARK, IL 60462
Specialist
15300 WEST AVE, SUITE 205
ORLAND PARK, IL 60462
Dentist (Endodontics)
15300 WEST AVE, SUITE 112
ORLAND PARK, IL 60462
Dermatology
15300 WEST AVE, SUITE 120 SOUTH
ORLAND PARK, IL 60462
Dermatology
15300 WEST AVE, SUITE 120 SOUTH
ORLAND PARK, IL 60462
Counselor (Addiction (Substance Use Disorder))
15300 WEST AVE, SUITE 313
ORLAND PARK, IL 60462
Social Worker (Clinical)
15300 WEST AVE, SUITE 313
ORLAND PARK, IL 60462
Nurse Practitioner
15300 WEST AVE, SUITE 220
ORLAND PARK, IL 60462
Physical Therapist
15300 WEST AVE, SUITE 122
ORLAND PARK, IL 60462
Allergy & Immunology (Allergy)
15300 WEST AVE, SUITE 204, EAST BUILDING
ORLAND PARK, IL 60462
Dentist (Pediatric Dentistry)
15300 WEST AVE, SUITE 110
ORLAND PARK, IL 60462
Dentist (General Practice)
15300 WEST AVE, SUITE 111
ORLAND PARK, IL 60462
Internal Medicine
15300 WEST AVE, SUITE 303
ORLAND PARK, IL 60462
Internal Medicine (Rheumatology)
15300 WEST AVE, STE. 201
ORLAND PARK, IL 60462
Pediatrics
15300 WEST AVE, SUITE# 214
ORLAND PARK, IL 60462
Dietitian, Registered
15300 WEST AVE
ORLAND PARK, IL 60462
Surgery
15300 WEST AVE, SUITE 222 SOUTH BUILDING
ORLAND PARK, IL 60462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104004290, enumerated as an "organization" on January 31, 2008.

The provider is located at 15300 WEST AVE SUITE 210 ORLAND PARK, IL 60462 and the phone number is (708) 873-9440.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.