REVITASPINE
NPI 1629594866
Clinic/Center in Jupiter, FL

NPI Status: Active since August 18, 2017

Contact Information

210 JUPITER LAKES BLVD STE 5205
JUPITER, FL
ZIP 33458
Phone: (561) 633-4142
Fax: (561) 803-8708

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  • Organization
  • Clinic/Center

About REVITASPINE

This page provides the complete NPI Profile along with additional information for Revitaspine, a provider established in Jupiter, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1629594866 assigned on August 2017. The practitioner's primary taxonomy code is 261Q00000X with license number CH9815 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Revitaspine. The authorized official of this NPI record is Dr. Jonn A Mcclellan Dc (Owner)

NPI
1629594866
Provider Legal Name
JM. JZ ENTERPRISES
Other Organization Name
REVITASPINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
210 JUPITER LAKES BLVD STE 5205 JUPITER, FL 33458
Location Phone
(561) 633-4142
Location Fax
(561) 803-8708
Mailing Address
8439 E GARDEN OAKS CIR PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 768-5699
Mailing Fax
(561) 803-8708
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2017
Last Update Date
07-12-2018
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
CH9815
License State
FL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. JONN A MCCLELLAN DC

Authorized Official Title
OWNER
Authorized Official Phone
(561) 602-2888

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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 1629594866, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 2 → 4 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 0 + 9 + 8 + 8 + 1 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629594866.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
210 JUPITER LAKES BLVD STE 5205
JUPITER, FL 33458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629594866, enumerated as an "organization" on August 18, 2017.

The provider is located at 210 JUPITER LAKES BLVD STE 5205 JUPITER, FL 33458 and the phone number is (561) 633-4142.

Clinic/Center with taxonomy code 261Q00000X.