MIRAE CLINIC
NPI 1164668588
Clinic/Center in Dallas, TX

NPI Status: Active since January 07, 2009

Contact Information

2035 ROYAL LN STE 280
DALLAS, TX
ZIP 75229
Phone: (214) 352-6677
Fax: (877) 643-4072

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  • Organization
  • Clinic/Center

About MIRAE CLINIC

This page provides the complete NPI Profile along with additional information for Mirae Clinic, a provider established in Dallas, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1164668588 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 8306 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. David Koh D.c. (President)

NPI
1164668588
Provider Name
MIRAE CLINIC
Entity Type
Organization
Location Address
2035 ROYAL LN STE 280 DALLAS, TX 75229
Location Phone
(214) 352-6677
Location Fax
(877) 643-4072
Mailing Address
2035 ROYAL LN STE 280 DALLAS, TX 75229
Mailing Phone
(214) 352-6677
Mailing Fax
(877) 643-4072
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2009
Last Update Date
01-07-2009
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
8306
License State
TX
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. DAVID KOH D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(214) 352-6677

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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 1164668588, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 2 + 6 + 1 + 6 + 5 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164668588.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164668588, enumerated as an "organization" on January 07, 2009.

The provider is located at 2035 ROYAL LN STE 280 DALLAS, TX 75229 and the phone number is (214) 352-6677.

Clinic/Center with taxonomy code 261Q00000X.