LAKESIDE CHIROPRACTIC PC
NPI 1417133265
Clinic/Center in Show Low, AZ

NPI Status: Active since January 10, 2008

Contact Information

1640 E OLIVER PL
SHOW LOW, AZ
ZIP 85901
Phone: (928) 532-1225
Fax: (928) 532-2276

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  • Organization
  • Clinic/Center

About LAKESIDE CHIROPRACTIC PC

This page provides the complete NPI Profile along with additional information for Lakeside Chiropractic Pc, a provider established in Show Low, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1417133265 assigned on January 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 5129 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Richard Albert Boatright D.c. (President)

NPI
1417133265
Provider Name
LAKESIDE CHIROPRACTIC PC
Entity Type
Organization
Location Address
1640 E OLIVER PL SHOW LOW, AZ 85901
Location Phone
(928) 532-1225
Location Fax
(928) 532-2276
Mailing Address
PO BOX 3330 PINETOP, AZ 85935
Mailing Phone
(928) 532-1225
Mailing Fax
(928) 532-2276
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2008
Last Update Date
03-07-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
5129
License State
AZ
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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. RICHARD ALBERT BOATRIGHT D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 532-1225

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
69963MEDICARE PIN (08)AZ 

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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 1417133265, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 1 → 2 1 → 2 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 2 + 3 + 6 + 2 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1417133265.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417133265, enumerated as an "organization" on January 10, 2008.

The provider is located at 1640 E OLIVER PL SHOW LOW, AZ 85901 and the phone number is (928) 532-1225.

Clinic/Center with taxonomy code 261Q00000X.

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