MODERN KETAMINE CLINIC
NPI 1386366532
Clinic/Center - Infusion Therapy in Maple Grove, MN
NPI Status: Active since September 14, 2022
Contact Information
13792 REIMER DR N
MAPLE GROVE, MN
ZIP 55311
Phone: (763) 347-2100
Fax: (763) 333-7174
- Organization
- Clinic/Center
- Infusion Therapy
About MODERN KETAMINE CLINIC
This page provides the complete NPI Profile along with additional information for Modern Ketamine Clinic, a provider established in Maple Grove, Minnesota operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1386366532 assigned on September 2022. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Daniel Gregory Falvey Md (Md)
- NPI
- 1386366532
- Provider Name
- MODERN KETAMINE CLINIC
- Entity Type
- Organization
- Location Address
- 13792 REIMER DR N MAPLE GROVE, MN 55311
- Location Phone
- (763) 347-2100
- Location Fax
- (763) 333-7174
- Mailing Address
- 13792 REIMER DR N MAPLE GROVE, MN 55311
- Mailing Phone
- (763) 347-2100
- Mailing Fax
- (763) 333-7174
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2022
- Last Update Date
- 05-28-2025
- 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 Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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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 1386366532, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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.
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MAPLE GROVE, MN 55311
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386366532, enumerated as an "organization" on September 14, 2022.
The provider is located at 13792 REIMER DR N MAPLE GROVE, MN 55311 and the phone number is (763) 347-2100.
Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.
