DR. JIM PAUL LICANDRO DPM
NPI 1609873538
Podiatrist in Long Grove, IA
NPI Status: Active since July 07, 2005
Contact Information
405 WOODLAWN RD
LONG GROVE, IA
ZIP 52756
Phone: (832) 425-7457
Fax: (563) 285-5446
- Individual
- Male
- Podiatrist
About JIM LICANDRO
This page provides the complete NPI Profile along with additional information for Jim Licandro, a provider established in Long Grove, Iowa with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1609873538 assigned on July 2005. The practitioner's primary taxonomy code is 213E00000X with license number 00705 (IA). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1609873538
- Provider Name
- DR. JIM PAUL LICANDRO DPM
- Other Name
- DR. JAMES PAUL LICANDRO DPM
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 405 WOODLAWN RD LONG GROVE, IA 52756
- Location Phone
- (832) 425-7457
- Location Fax
- (563) 285-5446
- Mailing Address
- 5261 BOULDER DR APT D WEST DES MOINES, IA 50265
- Mailing Phone
- (563) 340-4387
- Mailing Fax
- (563) 285-5446
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 07-22-2018
- Code Navigator
A podiatrist like Jim Licandro provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
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
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 00705
- License State
- IA
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1197210 | MEDICAID (05) | IA |
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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 1609873538, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609873538, enumerated as an "individual" on July 07, 2005.
The provider is located at 405 WOODLAWN RD LONG GROVE, IA 52756 and the phone number is (832) 425-7457.
Podiatrist with taxonomy code 213E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
