KYLE JAMES PEDERSON
NPI 1740957158
Military Health Care Provider - Independent Duty Corpsman in Kailua, HI
NPI Status: Active since August 24, 2021
Contact Information
6905 HARRIS AVE
KAILUA, HI
ZIP 96734
Phone: (808) 257-3365
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About KYLE PEDERSON
This page provides the complete NPI Profile along with additional information for Kyle Pederson, a provider established in Kailua, Hawaii with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1740957158 assigned on August 2021. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1740957158
- Provider Name
- KYLE JAMES PEDERSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6905 HARRIS AVE KAILUA, HI 96734
- Location Phone
- (808) 257-3365
- Mailing Address
- MAG-24 MWSS MCBH BOX 63047 MCBH KANEOHE BAY, HI 96863
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2021
- Last Update Date
- 04-14-2022
- Code Navigator
Location Map
Secondary Locations
- 34101 Farenholt Ave Bldg 14
San Diego, CA 92134
(910) 260-7902
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
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- Taxonomy Description
- A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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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 1740957158, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740957158, enumerated as an "individual" on August 24, 2021.
The provider is located at 6905 HARRIS AVE KAILUA, HI 96734 and the phone number is (808) 257-3365.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.