CLEARWATER HEALTH DPC, PLLC
NPI 1720931439
in Apex, NC

NPI Status: Active since February 20, 2026

Contact Information

1440 CHAPEL RIDGE RD STE 110
APEX, NC
ZIP 27502
Phone: (910) 586-1960
Fax: (910) 226-0957

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  • Organization
  • CLIA Number: 34D2294539
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-27-2027

About CLEARWATER HEALTH DPC, PLLC

This page provides the complete NPI Profile along with additional information for Clearwater Health Dpc, Pllc, a provider established in Apex, North Carolina operating as a . The healthcare provider is registered in the NPI registry with number 1720931439 assigned on February 2026. The practitioner's primary taxonomy code is 207QD0401X. The provider is registered as an organization and their NPI record was last updated February 2026. 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 Tanner Moore Md (Medical Director)

NPI
1720931439
Provider Name
CLEARWATER HEALTH DPC, PLLC
Entity Type
Organization
Location Address
1440 CHAPEL RIDGE RD STE 110 APEX, NC 27502
Location Phone
(910) 586-1960
Location Fax
(910) 226-0957
Mailing Address
322 SHADY LN CAMERON, NC 28326
Mailing Phone
(304) 672-3225
Mailing Fax
(910) 226-0957
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2026
Last Update Date
02-20-2026
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Location Map

Secondary Locations

  • 2979 Crouse Ln
    Burlington, NC 27215
    (336) 228-9759

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

Taxonomy Code
207QD0401X
Type

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

TANNER MOORE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(304) 672-3225

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
34D2294539
Facility Type
Physician Office
Certificate Effective Date
November 28, 2025
Certificate Expiration Date
November 27, 2027
Laboratory Director
TANNER M. MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clearwater Health Dpc, Pllc 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 1720931439, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 2 → 4 9 → 18 → 9 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 8 + 3 + 2 + 4 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1720931439.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720931439, enumerated as an "organization" on February 20, 2026.

The provider is located at 1440 CHAPEL RIDGE RD STE 110 APEX, NC 27502 and the phone number is (910) 586-1960.

with taxonomy code 207QD0401X.