MR. KELLEN J PINO MS, LAT, ATC, CES
NPI 1104471085
Preventive Medicine - Sports Medicine in Albuquerque, NM
NPI Status: Active since August 07, 2019
Contact Information
12200 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 559-2200
- Individual
- Male
- Preventive Medicine
- Sports Medicine
About KELLEN PINO
This page provides the complete NPI Profile along with additional information for Kellen Pino, a provider established in Albuquerque, New Mexico with a medical specialization in Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104471085 assigned on August 2019. The practitioner's primary taxonomy code is 2083S0010X with license number 424 (NM). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1104471085
- Provider Name
- MR. KELLEN J PINO MS, LAT, ATC, CES
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12200 LOMAS BLVD NE ALBUQUERQUE, NM 87112
- Location Phone
- (505) 559-2200
- Mailing Address
- 4500 SHADOW AVE NW ALBUQUERQUE, NM 87114
- Mailing Phone
- (505) 681-0748
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-07-2019
- Last Update Date
- 08-07-2019
- 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
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 424
- License State
- NM
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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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 1104471085, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87112
ALBUQUERQUE, NM 87112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104471085, enumerated as an "individual" on August 07, 2019.
The provider is located at 12200 LOMAS BLVD NE ALBUQUERQUE, NM 87112 and the phone number is (505) 559-2200.
Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.
