MR. TODD MICHAEL KUBON BA, MAMS, CCA
NPI 1164804142
Anaplastologist in Riverside, IL

NPI Status: Active since June 25, 2015

Contact Information

317 NUTTALL RD
RIVERSIDE, IL
ZIP 60546
Phone: (312) 978-1073

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  • Individual
  • Male
  • Anaplastologist

About TODD KUBON

This page provides the complete NPI Profile along with additional information for Todd Kubon, a provider established in Riverside, Illinois with a medical specialization in Anaplastologist. The healthcare provider is registered in the NPI registry with number 1164804142 assigned on June 2015. The practitioner's primary taxonomy code is 229N00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1164804142
Provider Name
MR. TODD MICHAEL KUBON BA, MAMS, CCA
Gender
Male
Entity Type
Individual
Location Address
317 NUTTALL RD RIVERSIDE, IL 60546
Location Phone
(312) 978-1073
Mailing Address
317 NUTTALL RD RIVERSIDE, IL 60546
Mailing Phone
(312) 978-1073
Is Sole Proprietor?
Yes
Enumeration Date
06-25-2015
Last Update Date
06-25-2015
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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

Anaplastologist

Taxonomy Code
229N00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
229N00000XOTHER (01)ILWPC CODE

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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 1164804142, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

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 + 6 + 0 + 8 + 1 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1164804142.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164804142, enumerated as an "individual" on June 25, 2015.

The provider is located at 317 NUTTALL RD RIVERSIDE, IL 60546 and the phone number is (312) 978-1073.

Anaplastologist with taxonomy code 229N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.