ALAMOGORDO DERMATOLOGY
NPI 1679242457
Licensed Practical Nurse in Alamogordo, NM

NPI Status: Active since September 07, 2021

Contact Information

1401 10TH ST STE C
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 405-9886

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  • Organization
  • Licensed Practical Nurse
  • CLIA Number: 32D2297414
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-15-2026

About ALAMOGORDO DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Alamogordo Dermatology, a provider established in Alamogordo, New Mexico operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1679242457 assigned on September 2021. The practitioner's primary taxonomy code is 164W00000X. The provider is registered as an organization and their NPI record was last updated 2 years 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 is doing business as Alamogordo Dermatology. The authorized official of this NPI record is Robert Bonn Seeberger (Office Manager)

NPI
1679242457
Provider Legal Name
SEEBERGER DERMATOLOGY LLC
Other Organization Name
ALAMOGORDO DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1401 10TH ST STE C ALAMOGORDO, NM 88310
Location Phone
(575) 405-9886
Mailing Address
1401 10TH ST STE C ALAMOGORDO, NM 88310
Mailing Phone
(575) 437-4533
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2021
Last Update Date
04-04-2024
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Group Taxonomy 193400000X MULTIPLE 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

ROBERT BONN SEEBERGER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(434) 841-8300

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
32D2297414
Facility Type
Physician Office
Certificate Effective Date
January 16, 2024
Certificate Expiration Date
January 15, 2026
Laboratory Director
ALISA SEEBERGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alamogordo Dermatology 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 1679242457, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 7 → 14 → 5 2 → 4 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 4 + 4 + 4 + 4 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1679242457.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
1401 10TH ST STE C
ALAMOGORDO, NM 88310
Audiologist
1401 10TH ST STE C
ALAMOGORDO, NM 88310
Audiologist
1401 10TH ST STE C
ALAMOGORDO, NM 88310
Nurse Practitioner (Family)
1401 10TH ST STE C
ALAMOGORDO, NM 88310
Nurse Practitioner (Family)
1401 10TH ST STE C
ALAMOGORDO, NM 88310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679242457, enumerated as an "organization" on September 07, 2021.

The provider is located at 1401 10TH ST STE C ALAMOGORDO, NM 88310 and the phone number is (575) 405-9886.

Licensed Practical Nurse with taxonomy code 164W00000X.