BACK AND NECK MEDICAL CARE CENTER, LLC
NPI 1417530304
Clinic/Center - Medical Specialty in Las Cruces, NM

NPI Status: Active since April 29, 2021

Contact Information

2803 DORAL CT
LAS CRUCES, NM
ZIP 88011
Phone: (046) 984-4063
Fax: (877) 532-2113

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  • Organization
  • Clinic/Center
  • Medical Specialty

About BACK AND NECK MEDICAL CARE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Back And Neck Medical Care Center, Llc, a provider established in Las Cruces, New Mexico operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1417530304 assigned on April 2021. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Glenn J. Waldt Do (Provider Owner)

NPI
1417530304
Provider Name
BACK AND NECK MEDICAL CARE CENTER, LLC
Entity Type
Organization
Location Address
2803 DORAL CT LAS CRUCES, NM 88011
Location Phone
(046) 984-4063
Location Fax
(877) 532-2113
Mailing Address
1180 COMMERCE DR UNIT 14222 LAS CRUCES, NM 88013
Mailing Phone
(505) 695-1227
Mailing Fax
(877) 532-2113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2021
Last Update Date
05-08-2024
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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. GLENN J. WALDT DO

Authorized Official Title
PROVIDER OWNER
Authorized Official Phone
(505) 695-1227

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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 1417530304, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 5 → 10 → 1 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 0 + 3 + 0 + 3 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417530304.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
2803 DORAL CT
LAS CRUCES, NM 88011
Surgery
2803 DORAL CT
LAS CRUCES, NM 88011
Neuromusculoskeletal Medicine & OMM
2803 DORAL CT
LAS CRUCES, NM 88011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417530304, enumerated as an "organization" on April 29, 2021.

The provider is located at 2803 DORAL CT LAS CRUCES, NM 88011 and the phone number is (046) 984-4063.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.