PHOENIX RISING WELLNESS CENTER
NPI 1639775174
Chiropractor in Lakewood, WA

NPI Status: Active since December 09, 2020

Contact Information

11008 GRAVELLY LAKE DR SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 220-0711
Fax: (888) 317-8716

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  • Organization
  • Chiropractor

About PHOENIX RISING WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Phoenix Rising Wellness Center, a provider established in Lakewood, Washington operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1639775174 assigned on December 2020. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Phoenix Rising Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Shamika Cordis Dc (Owner)

NPI
1639775174
Provider Name
PHOENIX RISING WELLNESS CENTER
Entity Type
Organization
Location Address
11008 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499
Location Phone
(253) 220-0711
Location Fax
(888) 317-8716
Mailing Address
11008 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499
Mailing Phone
(253) 220-0711
Mailing Fax
(888) 317-8716
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-09-2020
Last Update Date
12-09-2020
Code Navigator

A chiropractor like Phoenix Rising Wellness Center helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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. SHAMIKA CORDIS DC

Authorized Official Title
OWNER
Authorized Official Phone
(360) 728-0315

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
CH605050789OTHER (01)CHIROPRACTIC

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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 1639775174, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 3 → 6 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 4 + 7 + 1 + 0 + 1 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1639775174.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Massage Therapist
11008 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Chiropractor
11008 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639775174, enumerated as an "organization" on December 09, 2020.

The provider is located at 11008 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 and the phone number is (253) 220-0711.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.