CCRM DONOR EGG BANK LLC
NPI 1104712967
Clinic/Center - Ambulatory Fertility Facility in Lone Tree, CO

NPI Status: Active since June 17, 2025

Contact Information

10290 RIDGEGATE CIR
LONE TREE, CO
ZIP 80124
Phone: (303) 788-8300
Fax: (303) 788-8310

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  • Organization
  • Clinic/Center
  • Ambulatory Fertility Facility

About CCRM DONOR EGG BANK LLC

This page provides the complete NPI Profile along with additional information for Ccrm Donor Egg Bank Llc, a provider established in Lone Tree, Colorado operating as a Clinic/center, focusing in ambulatory fertility facility . The healthcare provider is registered in the NPI registry with number 1104712967 assigned on June 2025. The practitioner's primary taxonomy code is 261QA0006X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Diane Jean Ravech (Chief Managed Care Officer)

NPI
1104712967
Provider Name
CCRM DONOR EGG BANK LLC
Entity Type
Organization
Location Address
10290 RIDGEGATE CIR LONE TREE, CO 80124
Location Phone
(303) 788-8300
Location Fax
(303) 788-8310
Mailing Address
10290 RIDGEGATE CIR LONE TREE, CO 80124
Mailing Phone
(303) 788-8300
Mailing Fax
(303) 788-8310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2025
Last Update Date
06-17-2025
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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

Clinic/Center Ambulatory Fertility Facility

Taxonomy Code
261QA0006X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

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

DIANE JEAN RAVECH

Authorized Official Title
CHIEF MANAGED CARE OFFICER
Authorized Official Phone
(860) 305-6640

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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 1104712967, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 7 → 14 → 5 2 → 4 6 → 12 → 3

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 + 4 + 1 + 4 + 9 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104712967.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Reproductive Endocrinology)
10290 RIDGEGATE CIR
LONETREE, CO 80124
Nurse Practitioner (Obstetrics & Gynecology)
10290 RIDGEGATE CIR
LONETREE, CO 80124
Clinic/Center (Ambulatory Fertility Facility)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Nurse Practitioner (Family)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Nurse Practitioner (Women's Health)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Obstetrics & Gynecology (Reproductive Endocrinology)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Advanced Practice Midwife
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Nurse Practitioner (Women's Health)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Obstetrics & Gynecology (Reproductive Endocrinology)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Obstetrics & Gynecology (Reproductive Endocrinology)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Nurse Practitioner (Women's Health)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Medical Genetics (Clinical Genetics (M.D.))
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Clinic/Center (Ambulatory Surgical)
10290 RIDGEGATE CIR
LONE TREE, CO 80124
Nurse Practitioner (Family)
10290 RIDGEGATE CIR
LONE TREE, CO 80124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104712967, enumerated as an "organization" on June 17, 2025.

The provider is located at 10290 RIDGEGATE CIR LONE TREE, CO 80124 and the phone number is (303) 788-8300.

Clinic/Center with taxonomy code 261QA0006X and a focus in Ambulatory Fertility Facility.