SHADE MEDICAL AND CREATIVE TATTOO LLC
NPI 1548820731
Specialist/Technologist, Other - Art, Medical in Madison, WI

NPI Status: Active since June 19, 2019

Contact Information

3230 UNIVERSITY AVE STE 12
MADISON, WI
ZIP 53705
Phone: (608) 571-2617

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  • Organization
  • Specialist/Technologist, Other
  • Art, Medical

About SHADE MEDICAL AND CREATIVE TATTOO LLC

This page provides the complete NPI Profile along with additional information for Shade Medical And Creative Tattoo Llc, a provider established in Madison, Wisconsin operating as a Specialist/technologist, Other, focusing in art, medical . The healthcare provider is registered in the NPI registry with number 1548820731 assigned on June 2019. The practitioner's primary taxonomy code is 246ZA2600X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Alissa Christine Waters (Owner/tattooist)

NPI
1548820731
Provider Name
SHADE MEDICAL AND CREATIVE TATTOO LLC
Entity Type
Organization
Location Address
3230 UNIVERSITY AVE STE 12 MADISON, WI 53705
Location Phone
(608) 571-2617
Mailing Address
2201 WESTCHESTER RD FITCHBURG, WI 53711
Mailing Phone
(608) 770-5682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2019
Last Update Date
06-19-2019
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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

Specialist/Technologist, Other Art, Medical

Taxonomy Code
246ZA2600X
Type
Technologists, Technicians & Other Technical Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ALISSA CHRISTINE WATERS

Authorized Official Title
OWNER/TATTOOIST
Authorized Official Phone
(608) 770-5682

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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.
1548820731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588162076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 6 + 2 + 0 + 7 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1548820731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

ALISSA C WATERS

Specialist/Technologist, Other

(Art, Medical)

3230 UNIVERSITY AVE STE 12
MADISON, WI
ZIP 53705

(608) 285-5645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548820731, enumerated as an "organization" on June 19, 2019.

The provider is located at 3230 UNIVERSITY AVE STE 12 MADISON, WI 53705 and the phone number is (608) 571-2617.

Specialist/Technologist, Other with taxonomy code 246ZA2600X and a focus in Art, Medical.