COPPELL CLINIC, P.A.
NPI 1346576949
Family Medicine in Coppell, TX

NPI Status: Active since November 02, 2009

Contact Information

171 N DENTON TAP RD
SUITE 200
COPPELL, TX
ZIP 75019
Phone: (972) 745-4446
Fax: (972) 745-2597

Get Directions Write a Review

  • Organization
  • Family Medicine
  • CLIA Number: 45D2191720
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-30-2026

About COPPELL CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Coppell Clinic, P.a., a primary care provider established in Coppell, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1346576949 assigned on November 2009. The practitioner's primary taxonomy code is 207Q00000X with license number J0197 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Russell Wayne Phillips D.o. (Physician)

NPI
1346576949
Provider Name
COPPELL CLINIC, P.A.
Entity Type
Organization
Location Address
171 N DENTON TAP RD SUITE 200 COPPELL, TX 75019
Location Phone
(972) 745-4446
Location Fax
(972) 745-2597
Mailing Address
171 N DENTON TAP RD SUITE 200 COPPELL, TX 75019
Mailing Phone
(972) 745-4446
Mailing Fax
(972) 745-2597
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2009
Last Update Date
11-02-2009
Code Navigator

A primary care provider (PCP) like Coppell Clinic, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
J0197
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. RUSSELL WAYNE PHILLIPS D.O.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(972) 745-4446

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
45D2191720
Facility Type
Assisted Living Facility
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
LINDA CARR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coppell Clinic, P.a. 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.

Reviews for COPPELL CLINIC, P.A.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1346576949, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
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 4 → 8 5 → 10 → 1 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 0 + 7 + 1 + 2 + 9 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1346576949.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
171 N DENTON TAP RD, #200
COPPELL, TX 75019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346576949, enumerated as an "organization" on November 02, 2009.

The provider is located at 171 N DENTON TAP RD SUITE 200 COPPELL, TX 75019 and the phone number is (972) 745-4446.

Family Medicine with taxonomy code 207Q00000X.