MODERN MEDICAL NUTRITION THERAPY, LLC
NPI 1699217885
Dietitian, Registered - Nutrition, Metabolic in Lincoln, NE

NPI Status: Active since November 05, 2016

Contact Information

530 S 13TH ST
STE 100
LINCOLN, NE
ZIP 68508
Phone: (402) 618-0209
Fax: (402) 905-0321

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  • Organization
  • Dietitian, Registered
  • Nutrition, Metabolic

About MODERN MEDICAL NUTRITION THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Modern Medical Nutrition Therapy, Llc, a provider established in Lincoln, Nebraska operating as a Dietitian, Registered, focusing in nutrition, metabolic . The healthcare provider is registered in the NPI registry with number 1699217885 assigned on November 2016. The practitioner's primary taxonomy code is 133VN1006X with license number 752 (NE). The provider is registered as an organization and their NPI record was last updated 10 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 Mr. Raphael Ovonlen Mph, Ms, Rdn, Lmnt, (Ceo)

NPI
1699217885
Provider Name
MODERN MEDICAL NUTRITION THERAPY, LLC
Entity Type
Organization
Location Address
530 S 13TH ST STE 100 LINCOLN, NE 68508
Location Phone
(402) 618-0209
Location Fax
(402) 905-0321
Mailing Address
6554 S 117TH ST OMAHA, NE 68137
Mailing Phone
(402) 618-0209
Mailing Fax
(402) 905-0321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2016
Last Update Date
11-05-2016
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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

Dietitian, Registered Nutrition, Metabolic

Taxonomy Code
133VN1006X
Type
Dietary & Nutritional Service Providers
License No.
752
License State
NE
Taxonomy Description
A registered dietitian who achieves specialized competency in metabolic nutrition.

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

MR. RAPHAEL OVONLEN MPH, MS, RDN, LMNT,

Authorized Official Title
CEO
Authorized Official Phone
(402) 618-0209

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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 1699217885, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 9 → 18 → 9 2 → 4 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 4 + 1 + 1 + 4 + 8 + 1 + 6 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1699217885.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699217885, enumerated as an "organization" on November 05, 2016.

The provider is located at 530 S 13TH ST STE 100 LINCOLN, NE 68508 and the phone number is (402) 618-0209.

Dietitian, Registered with taxonomy code 133VN1006X and a focus in Nutrition, Metabolic.