VITALITY WELLNESS CLINIC
NPI 1154824209
Specialist in Colleyville, TX

NPI Status: Active since March 15, 2018

Contact Information

6407 COLLEYVILLE BLVD STE B
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 527-6077
Fax: (817) 796-1694

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  • Organization
  • Specialist
  • Accepts Insurance

About VITALITY WELLNESS CLINIC

This page provides the complete NPI Profile along with additional information for Vitality Wellness Clinic, a provider established in Colleyville, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154824209 assigned on March 2018. The practitioner's primary taxonomy code is 174400000X with license number AC00108 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. 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 provider's is doing business as Vitality Wellness Clinic. The authorized official of this NPI record is Vitality Wellness Clinic (Owner)

NPI
1154824209
Provider Legal Name
SOUTHLAKE FOOT & WELLNESS CENTER LLC
Other Organization Name
VITALITY WELLNESS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6407 COLLEYVILLE BLVD STE B COLLEYVILLE, TX 76034
Location Phone
(817) 527-6077
Location Fax
(817) 796-1694
Mailing Address
901 W WALL ST STE 103 GRAPEVINE, TX 76051
Mailing Phone
(817) 527-6077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2018
Last Update Date
10-05-2023
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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.
AC00108
License State
TX
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.

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.

Insurance Plans Accepted

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

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

*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

VITALITY WELLNESS CLINIC

Authorized Official Title
OWNER
Authorized Official Phone
(817) 527-6077

Reviews for VITALITY WELLNESS CLINIC

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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 1154824209, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 5 → 10 → 1 8 → 16 → 7 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 6 + 2 + 8 + 2 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154824209.

Other Providers at the Same Location


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

Clinic/Center (Sleep Disorder Diagnostic)
6407 COLLEYVILLE BLVD STE B
COLLEYVILLE, TX 76034
Acupuncturist
6407 COLLEYVILLE BLVD STE B
COLLEYVILLE, TX 76034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154824209, enumerated as an "organization" on March 15, 2018.

The provider is located at 6407 COLLEYVILLE BLVD STE B COLLEYVILLE, TX 76034 and the phone number is (817) 527-6077.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.