JACKSON WISE
NPI 1427772656
Massage Therapist in Santa Clara, CA

NPI Status: Active since September 30, 2022

Contact Information

3484 MONROE ST APT 5
SANTA CLARA, CA
ZIP 95051
Phone: (805) 341-7751

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  • Individual
  • Male
  • Massage Therapist

About JACKSON WISE

This page provides the complete NPI Profile along with additional information for Jackson Wise, a provider established in Santa Clara, California with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1427772656 assigned on September 2022. The practitioner's primary taxonomy code is 225700000X with license number 4467 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1427772656
Provider Name
JACKSON WISE
Gender
Male
Entity Type
Individual
Location Address
3484 MONROE ST APT 5 SANTA CLARA, CA 95051
Location Phone
(805) 341-7751
Mailing Address
3484 MONROE ST APT 5 SANTA CLARA, CA 95051
Mailing Phone
(805) 341-7751
Is Sole Proprietor?
Yes
Enumeration Date
09-30-2022
Last Update Date
09-30-2022
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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

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
4467
License State
CA
Taxonomy Description
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427772656
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471474610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 4 + 7 + 4 + 6 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1427772656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427772656, enumerated as an "individual" on September 30, 2022.

The provider is located at 3484 MONROE ST APT 5 SANTA CLARA, CA 95051 and the phone number is (805) 341-7751.

Massage Therapist with taxonomy code 225700000X.