SHANGRI-LA INTEGRATED CLINIC
NPI 1336707553
Clinic/Center in Centreville, VA
NPI Status: Active since June 03, 2019
Contact Information
13890 BRADDOCK RD STE 300
CENTREVILLE, VA
ZIP 20121
Phone: (571) 655-2281
- Organization
- Clinic/Center
About SHANGRI-LA INTEGRATED CLINIC
This page provides the complete NPI Profile along with additional information for Shangri-la Integrated Clinic, a provider established in Centreville, Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336707553 assigned on June 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Chung Do Kim (Director)
- NPI
- 1336707553
- Provider Name
- SHANGRI-LA INTEGRATED CLINIC
- Entity Type
- Organization
- Location Address
- 13890 BRADDOCK RD STE 300 CENTREVILLE, VA 20121
- Location Phone
- (571) 655-2281
- Mailing Address
- 13890 BRADDOCK RD STE 300 CENTREVILLE, VA 20121
- Mailing Phone
- (571) 655-2281
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2019
- Last Update Date
- 06-11-2019
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- 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).
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 |
|---|---|---|---|
| 0121000910 | OTHER (01) | VA | N/A |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 0 | 7 | 5 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 0 | 14 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 0 + 1 + 4 + 5 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1336707553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
YOUNG SU KIM
Acupuncturist
13890 BRADDOCK RD STE 300
CENTREVILLE, VA
ZIP 20121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336707553, enumerated as an "organization" on June 03, 2019.
The provider is located at 13890 BRADDOCK RD STE 300 CENTREVILLE, VA 20121 and the phone number is (571) 655-2281.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
