NATHAN W DAVIS DPM PC
NPI 1679763494
Podiatrist - Foot & Ankle Surgery in Murray, UT

NPI Status: Active since July 27, 2007

Contact Information

154 MYRTLE AVE
SUITE 201
MURRAY, UT
ZIP 84107
Phone: (801) 743-2909
Fax: (801) 288-9505

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About NATHAN W DAVIS DPM PC

This page provides the complete NPI Profile along with additional information for Nathan W Davis Dpm Pc, a provider established in Murray, Utah operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1679763494 assigned on July 2007. The practitioner's primary taxonomy code is 213ES0103X with license number 49208910501 (UT). The provider is registered as an organization and their NPI record was last updated 17 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 authorized official of this NPI record is Thia Hamblin (Office Manager)

NPI
1679763494
Provider Name
NATHAN W DAVIS DPM PC
Entity Type
Organization
Location Address
154 MYRTLE AVE SUITE 201 MURRAY, UT 84107
Location Phone
(801) 743-2909
Location Fax
(801) 288-9505
Mailing Address
154 MYRTLE AVE SUITE 201 MURRAY, UT 84107
Mailing Phone
(801) 743-2909
Mailing Fax
(801) 288-9505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2007
Last Update Date
12-02-2009
Code Navigator



Nathan W Davis Dpm Pc is a medicare supplier with PTAN 20601095 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Canes and/or Crutches or Orthoses: Prefabricated (Non-Custom Fabricated) or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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
License No.
49208910501
License State
UT

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

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.

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.

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

THIA HAMBLIN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(801) 743-2909

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
002189004OTHER (01)UTMEDICAID NEVADA
QM000061991OTHER (01)UTALTIUS
P00057743OTHER (01)UTRAILROAD MEDICARE
=========OTHER (01)UTCOMMERCIAL
=========DAVOTHER (01)UTEDUCATORS MUTUAL
2700110OTHER (01)UTUNITED HEALTH CARE
528271194007MEDICAID (05)UT 
123401800OTHER (01)UTUS DEPT OF LABOR
418216001OTHER (01)UTCIGNA MEDICARE
000057214MEDICARE PIN (08)UT 
49208910503001OTHER (01)UTBLUE CROSS BLUE SHIELD
U84711MEDICARE UPIN (02)UT 
5489420001MEDICARE NSC (07)UT 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20601095
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel.
Provider Type List
PHYSICIAN – PODIATRY.
Competitive Bidding
NO

Supplies List

  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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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 1679763494, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 7 → 14 → 5 3 → 6 9 → 18 → 9

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 + 1 + 4 + 6 + 6 + 4 + 1 + 8 + 24 = 76

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.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679763494.

Other Providers at the Same Location


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

Podiatrist (Foot & Ankle Surgery)
154 MYRTLE AVE, SUITE 201
MURRAY, UT 84107
Internal Medicine (Rheumatology)
154 MYRTLE AVE, SUITE 204
MURRAY, UT 84107
Internal Medicine (Rheumatology)
154 MYRTLE AVE, SUITE 204
MURRAY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679763494, enumerated as an "organization" on July 27, 2007.

The provider is located at 154 MYRTLE AVE SUITE 201 MURRAY, UT 84107 and the phone number is (801) 743-2909.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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