GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC
NPI 1588716104
Preferred Provider Organization in Warr Acres, OK

NPI Status: Active since January 16, 2007

Contact Information

7301 N COMANCHE AVE
WARR ACRES, OK
ZIP 73132
Phone: (405) 721-8090
Fax: (405) 722-8529

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  • Preferred Provider Organization

About GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC

This page provides the complete NPI Profile along with additional information for Grand Prairie Pediatric And Allergy Clinic, a provider established in Warr Acres, Oklahoma operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1588716104 assigned on January 2007. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Kenneth C Jackson Md (President)

NPI
1588716104
Provider Name
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC
Entity Type
Organization
Location Address
7301 N COMANCHE AVE WARR ACRES, OK 73132
Location Phone
(405) 721-8090
Location Fax
(405) 722-8529
Mailing Address
7301 N COMANCHE AVE WARR ACRES, OK 73132
Mailing Phone
(405) 721-8090
Mailing Fax
(405) 722-8529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
07-21-2022
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License State
OK
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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. KENNETH C JACKSON MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(405) 721-8090

Reviews for GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC

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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 1588716104, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
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 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 4 + 1 + 1 + 2 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1588716104.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Family Medicine
7301 N COMANCHE AVE, SUITE B
WARR ACRES, OK 73132
Physician Assistant
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Pediatrics
7301 N COMANCHE AVE
OKLAHOMA CITY, OK 73132
Physician Assistant
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Pediatrics
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Pediatrics
7301 N COMANCHE AVE
OKLAHOMA CITY, OK 73132
Family Medicine
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Nurse Practitioner (Pediatrics)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Clinic/Center (Primary Care)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Physician Assistant (Medical)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Specialist
7301 N COMANCHE AVE, OU PHYSICIANS
WARR ACRES, OK 73132
Counselor (Professional)
7301 N COMANCHE AVE
WARR ACRES, OK 73132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588716104, enumerated as an "organization" on January 16, 2007.

The provider is located at 7301 N COMANCHE AVE WARR ACRES, OK 73132 and the phone number is (405) 721-8090.

Preferred Provider Organization with taxonomy code 305R00000X.