JEWELS GARDEN ONCOLOGY BOUTIQUE
NPI 1174660435
Prosthetic/Orthotic Supplier in Mesa, AZ
NPI Status: Active since January 30, 2007
Contact Information
1400 S DOBSON RD
ONCOLOGY GIFT SHOP, ROOM 1053
MESA, AZ
ZIP 85202
Phone: (480) 412-5959
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 03D0698494
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-07-2027
About JEWELS GARDEN ONCOLOGY BOUTIQUE
This page provides the complete NPI Profile along with additional information for Jewels Garden Oncology Boutique, a provider established in Mesa, Arizona operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1174660435 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Jewels Garden Oncology Boutique. The authorized official of this NPI record is Mr. Dennis Laraway (Cfo)
- NPI
- 1174660435
- Provider Legal Name
- BANNER DESERT MEDICAL CENTER
- Other Organization Name
- JEWELS GARDEN ONCOLOGY BOUTIQUE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1400 S DOBSON RD ONCOLOGY GIFT SHOP, ROOM 1053 MESA, AZ 85202
- Location Phone
- (480) 412-5959
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-30-2007
- Last Update Date
- 12-23-2021
- Code Navigator
Location Map
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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
- 03D0698494
- Facility Type
- Hospital
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- DR. PRIYA RAMAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Jewels Garden Oncology Boutique on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1174660435, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MESA, AZ 85202
MESA, AZ 85202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174660435, enumerated as an "organization" on January 30, 2007.
The provider is located at 1400 S DOBSON RD ONCOLOGY GIFT SHOP, ROOM 1053 MESA, AZ 85202 and the phone number is (480) 412-5959.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
