DR. JOHN LICCIARDONE D.O.
NPI 1407829641
Neuromusculoskeletal Medicine & OMM in Fort Worth, TX

NPI Status: Active since February 08, 2006

Contact Information

UNTHSC PATIENT CARE CENTER
999 MONTGOMERY
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2235
Fax: (817) 735-2480

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  • Individual
  • Male
  • Neuromusculoskeletal Medicine & OMM

About JOHN LICCIARDONE

This page provides the complete NPI Profile along with additional information for John Licciardone, a provider established in Fort Worth, Texas with a medical specialization in Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1407829641 assigned on February 2006. The practitioner's primary taxonomy code is 204D00000X with license number H3103 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1407829641
Provider Name
DR. JOHN LICCIARDONE D.O.
Gender
Male
Entity Type
Individual
Location Address
UNTHSC PATIENT CARE CENTER 999 MONTGOMERY FORT WORTH, TX 76107
Location Phone
(817) 735-2235
Location Fax
(817) 735-2480
Mailing Address
UNTHSC DEPT. OF QUALITY MANAGEMENT 3500 CAMP BOWIE BLVD., EAD 324 FORT WORTH, TX 76107
Mailing Phone
(817) 735-0170
Mailing Fax
(817) 735-2480
Is Sole Proprietor?
No
Enumeration Date
02-08-2006
Last Update Date
03-04-2008
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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

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
License No.
H3103
License State
TX
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

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
E33306MEDICARE UPIN (02)TX 
86E318MEDICARE ID-TYPE UNSPECIFIED (04)TX 

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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 1407829641, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 0 → 0 8 → 16 → 7 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 1 + 6 + 2 + 1 + 8 + 6 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1407829641.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407829641, enumerated as an "individual" on February 08, 2006.

The provider is located at UNTHSC PATIENT CARE CENTER 999 MONTGOMERY FORT WORTH, TX 76107 and the phone number is (817) 735-2235.

Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

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