COEUR D'ALENE WIGS LLC
NPI 1558931691
Prosthetist in Coeur D Alene, ID

NPI Status: Active since June 30, 2021

Contact Information

296 W SUNSET AVE STE 17
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 551-2761

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  • Organization
  • Prosthetist
  • CLIA Number: 13D1091344
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-06-2027

About COEUR D'ALENE WIGS LLC

This page provides the complete NPI Profile along with additional information for Coeur D'alene Wigs Llc, a provider established in Coeur D Alene, Idaho operating as a Prosthetist. The healthcare provider is registered in the NPI registry with number 1558931691 assigned on June 2021. The practitioner's primary taxonomy code is 224P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jennifer Lynn Lindley (Owner/partner)

NPI
1558931691
Provider Name
COEUR D'ALENE WIGS LLC
Entity Type
Organization
Location Address
296 W SUNSET AVE STE 17 COEUR D ALENE, ID 83815
Location Phone
(208) 551-2761
Mailing Address
PO BOX 1073 HAYDEN, ID 83835
Mailing Phone
(208) 651-5109
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2021
Last Update Date
06-30-2021
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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

Prosthetist

Taxonomy Code
224P00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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

MRS. JENNIFER LYNN LINDLEY

Authorized Official Title
OWNER/PARTNER
Authorized Official Phone
(208) 551-2761

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1091344
Facility Type
Physician Office
Certificate Effective Date
April 07, 2025
Certificate Expiration Date
April 06, 2027
Laboratory Director
DR. DUANE E. CRADDOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coeur D'alene Wigs Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1558931691, 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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 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 5 → 10 → 1 9 → 18 → 9 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 8 + 3 + 2 + 6 + 1 + 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 1558931691.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558931691, enumerated as an "organization" on June 30, 2021.

The provider is located at 296 W SUNSET AVE STE 17 COEUR D ALENE, ID 83815 and the phone number is (208) 551-2761.

Prosthetist with taxonomy code 224P00000X.