FRESH START BONE AND JOINT INSTITUE
NPI 1154942829
Specialist in Buckeye, AZ

NPI Status: Active since May 04, 2020

Contact Information

485 S WATSON RD STE 103-438
BUCKEYE, AZ
ZIP 85326
Phone: (623) 535-9777
Fax: (623) 236-3197

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  • Organization
  • Specialist
  • CLIA Number: 03D2323269
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-04-2027

About FRESH START BONE AND JOINT INSTITUE

This page provides the complete NPI Profile along with additional information for Fresh Start Bone And Joint Institue, a provider established in Buckeye, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154942829 assigned on May 2020. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Fresh Start Bone And Joint Institue operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lizeth Rivas (Billing Manager)

NPI
1154942829
Provider Name
FRESH START BONE AND JOINT INSTITUE
Entity Type
Organization
Location Address
485 S WATSON RD STE 103-438 BUCKEYE, AZ 85326
Location Phone
(623) 535-9777
Location Fax
(623) 236-3197
Mailing Address
485 S WATSON RD STE 103-438 BUCKEYE, AZ 85326
Mailing Phone
(623) 535-9777
Mailing Fax
(623) 236-3197
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2020
Last Update Date
05-04-2020
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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
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

LIZETH RIVAS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(623) 535-9777

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2323269
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 05, 2025
Certificate Expiration Date
May 04, 2027
Laboratory Director
WENDI LUNDQUIST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fresh Start Bone And Joint Institue to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1154942829, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
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 9 → 18 → 9 2 → 4 2 → 4

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 + 8 + 4 + 4 + 8 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154942829.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154942829, enumerated as an "organization" on May 04, 2020.

The provider is located at 485 S WATSON RD STE 103-438 BUCKEYE, AZ 85326 and the phone number is (623) 535-9777.

Specialist with taxonomy code 174400000X.