UPPERLINE HEALTHCARE, PC
NPI 1639904964
Podiatrist - Foot & Ankle Surgery in Daytona Beach, FL
NPI Status: Active since September 05, 2024
Contact Information
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 339-4065
Fax: (855) 439-9682
- Organization
- Podiatrist
- Foot & Ankle Surgery
- CLIA Number: 10D2311428
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-22-2026
About UPPERLINE HEALTHCARE, PC
This page provides the complete NPI Profile along with additional information for Upperline Healthcare, Pc, a provider established in Daytona Beach, Florida operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1639904964 assigned on September 2024. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated May 2026. Upperline Healthcare, Pc 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 Michael King (President)
- NPI
- 1639904964
- Provider Name
- UPPERLINE HEALTHCARE, PC
- Entity Type
- Organization
- Location Address
- 1890 LPGA BLVD STE 250 DAYTONA BEACH, FL 32117
- Location Phone
- (386) 339-4065
- Location Fax
- (855) 439-9682
- Mailing Address
- 4101 CHARLOTTE AVE STE F185 NASHVILLE, TN 37209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2024
- Last Update Date
- 05-29-2026
- Code Navigator
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 Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2311428
- Facility Type
- Physician Office
- Certificate Effective Date
- September 23, 2024
- Certificate Expiration Date
- September 22, 2026
- Laboratory Director
- JAMES RUST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Upperline Healthcare, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1639904964, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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.
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 76 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639904964, enumerated as an "organization" on September 05, 2024.
The provider is located at 1890 LPGA BLVD STE 250 DAYTONA BEACH, FL 32117 and the phone number is (386) 339-4065.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
