KENNETH DERBENWICK MD
NPI 1366402562
Legal Medicine in Daytona Beach, FL

NPI Status: Active since March 23, 2006

Contact Information

350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 238-3200

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  • Individual
  • Male
  • Legal Medicine

About KENNETH DERBENWICK

This page provides the complete NPI Profile along with additional information for Kenneth Derbenwick, a provider established in Daytona Beach, Florida with a medical specialization in Legal Medicine. The healthcare provider is registered in the NPI registry with number 1366402562 assigned on March 2006. The practitioner's primary taxonomy code is 173000000X with license number ME0026485 (FL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1366402562
Provider Name
KENNETH DERBENWICK MD
Gender
Male
Entity Type
Individual
Location Address
350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114
Location Phone
(386) 238-3200
Mailing Address
PO BOX 9671 DAYTONA BEACH, FL 32120
Mailing Phone
(386) 615-4015
Is Sole Proprietor?
Yes
Enumeration Date
03-23-2006
Last Update Date
07-08-2007
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
ME0026485
License State
FL
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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
ME0026485OTHER (01)FLVHN
ME0026485OTHER (01)FLUNITED BENEFITS
D57636MEDICARE UPIN (02)FL 
64321ZMEDICARE ID-TYPE UNSPECIFIED (04)FL 

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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 1366402562, 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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 4 → 8 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 8 + 0 + 4 + 5 + 1 + 2 + 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 1366402562.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Dentist (General Practice)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Radiology (Diagnostic Radiology)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Nurse Practitioner
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Pharmacist
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Internal Medicine (Cardiovascular Disease)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Internal Medicine (Interventional Cardiology)
350 N CLYDE MORRIS BLVD, SUITE 1
DAYTONA BEACH, FL 32114
Physical Medicine & Rehabilitation (Sports Medicine)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Dietetic Technician, Registered
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Dietitian, Registered
350 N CLYDE MORRIS BLVD, SUITE 9
DAYTONA BEACH, FL 32114
Ophthalmology
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Anesthesiology (Pain Medicine)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Physician Assistant (Medical)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Nurse Practitioner (Family)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Psychiatry & Neurology (Psychiatry)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
General Practice
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Family Medicine
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Physician Assistant
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Psychiatry & Neurology (Vascular Neurology)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Ophthalmology
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366402562, enumerated as an "individual" on March 23, 2006.

The provider is located at 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114 and the phone number is (386) 238-3200.

Legal Medicine with taxonomy code 173000000X.

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