DIABETIC SHOE SOURCE
NPI 1396168290
Durable Medical Equipment & Medical Supplies in Vicksburg, MS

NPI Status: Active since January 28, 2014

Contact Information

104 MCAULEY DR
VICKSBURG, MS
ZIP 39183
Phone: (601) 883-3342
Fax: (601) 856-5955

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About DIABETIC SHOE SOURCE

This page provides the complete NPI Profile along with additional information for Diabetic Shoe Source, a provider established in Vicksburg, Mississippi operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1396168290 assigned on January 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is James T Phelan Dpm (Owner)

NPI
1396168290
Provider Name
DIABETIC SHOE SOURCE
Entity Type
Organization
Location Address
104 MCAULEY DR VICKSBURG, MS 39183
Location Phone
(601) 883-3342
Location Fax
(601) 856-5955
Mailing Address
104 MCAULEY DR VICKSBURG, MS 39183
Mailing Phone
(601) 883-3342
Mailing Fax
(601) 856-5955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2014
Last Update Date
01-28-2014
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

JAMES T PHELAN DPM

Authorized Official Title
OWNER
Authorized Official Phone
(601) 506-5689

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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 1396168290, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 9 → 18 → 9 1 → 2 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 2 + 6 + 1 + 6 + 2 + 1 + 8 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1396168290.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Internal Medicine
104 MCAULEY DR
VICKSBURG, MS 39183
Specialist/Technologist (Athletic Trainer)
104 MCAULEY DR
VICKSBURG, MS 39183
Dietitian, Registered
104 MCAULEY DR
VICKSBURG, MS 39183
Allergy & Immunology
104 MCAULEY DR
VICKSBURG, MS 39183
Audiologist
104 MCAULEY DR
VICKSBURG, MS 39183
Durable Medical Equipment & Medical Supplies
104 MCAULEY DR
VICKSBURG, MS 39183
Internal Medicine (Nephrology)
104 MCAULEY DR
VICKSBURG, MS 39183
Psychiatry & Neurology (Neurology)
104 MCAULEY DR
VICKSBURG, MS 39183
Internal Medicine
104 MCAULEY DR
VICKSBURG, MS 39183
Family Medicine
104 MCAULEY DR
VICKSBURG, MS 39183

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396168290, enumerated as an "organization" on January 28, 2014.

The provider is located at 104 MCAULEY DR VICKSBURG, MS 39183 and the phone number is (601) 883-3342.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.