TIDEWATER ALLERGY AND ASTHMA LLC
NPI 1629889308
Allergy & Immunology in Virginia Beach, VA

NPI Status: Active since January 14, 2025

Contact Information

4534 BONNEY RD STE B
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 499-4101
Fax: (757) 497-2419

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  • Organization
  • Allergy & Immunology

About TIDEWATER ALLERGY AND ASTHMA LLC

This page provides the complete NPI Profile along with additional information for Tidewater Allergy And Asthma Llc, a provider established in Virginia Beach, Virginia operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1629889308 assigned on January 2025. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated one year 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 provider's . The authorized official of this NPI record is Dr. Jeremy Ray Owens Md (Owner)

NPI
1629889308
Provider Legal Name
TIDEWATER ALLERGY AND ASTHMA LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4534 BONNEY RD STE B VIRGINIA BEACH, VA 23462
Location Phone
(757) 499-4101
Location Fax
(757) 497-2419
Mailing Address
1828 DUKE OF NORFOLK QUAY VIRGINIA BEACH, VA 23454
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2025
Last Update Date
04-03-2025
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Location Map

Secondary Locations

  • 516 Innovation Dr Ste 306
    Chesapeake, VA 23320
    (757) 499-4101

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

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

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

DR. JEREMY RAY OWENS MD

Authorized Official Title
OWNER
Authorized Official Phone
(757) 572-6052

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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 1629889308, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 8 → 16 → 7 9 → 18 → 9 0 → 0

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 + 6 + 8 + 1 + 8 + 3 + 0 + 24 = 72

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.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1629889308.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462
Nurse Practitioner (Family)
4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462
Allergy & Immunology
4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629889308, enumerated as an "organization" on January 14, 2025.

The provider is located at 4534 BONNEY RD STE B VIRGINIA BEACH, VA 23462 and the phone number is (757) 499-4101.

Allergy & Immunology with taxonomy code 207K00000X.