GREAT LAKES SPORT AND SPINE
NPI 1104500925
Chiropractor in Willoughby, OH

NPI Status: Active since June 12, 2023

Contact Information

34940 RIDGE RD STE B
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 503-6683

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  • Organization
  • Chiropractor

About GREAT LAKES SPORT AND SPINE

This page provides the complete NPI Profile along with additional information for Great Lakes Sport And Spine, a provider established in Willoughby, Ohio operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1104500925 assigned on June 2023. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Great Lakes Sport And Spine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Matthew Paul Martin Dc (Owner)

NPI
1104500925
Provider Name
GREAT LAKES SPORT AND SPINE
Entity Type
Organization
Location Address
34940 RIDGE RD STE B WILLOUGHBY, OH 44094
Location Phone
(440) 503-6683
Mailing Address
34940 RIDGE RD STE B WILLOUGHBY, OH 44094
Mailing Phone
(440) 503-6683
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2023
Last Update Date
06-12-2023
Code Navigator

A chiropractor like Great Lakes Sport And Spine helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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)
1171100000XOther Service Providers

Acupuncturist

 

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.

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

MATTHEW PAUL MARTIN DC

Authorized Official Title
OWNER
Authorized Official Phone
(440) 503-6683

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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 1104500925, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
5
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 5 → 10 → 1 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 0 + 0 + 0 + 9 + 4 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104500925.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
34940 RIDGE RD STE B
WILLOUGHBY, OH 44094
Chiropractor
34940 RIDGE RD STE B
WILLOUGHBY, OH 44094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104500925, enumerated as an "organization" on June 12, 2023.

The provider is located at 34940 RIDGE RD STE B WILLOUGHBY, OH 44094 and the phone number is (440) 503-6683.

Chiropractor with taxonomy code 111N00000X.