DESERT RIDGE PAIN FACILITY
NPI 1760061758
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

NPI Status: Active since April 06, 2021

Contact Information

21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ
ZIP 85050
Phone: (480) 773-7662

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical
CLIA Number: 03D2155521
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 09-30-2026

About DESERT RIDGE PAIN FACILITY

This page provides the complete NPI Profile along with additional information for Desert Ridge Pain Facility, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760061758 assigned on April 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Mike Cormier Dc (Managing Partner)

NPI: 1760061758
Provider Name: DESERT RIDGE PAIN FACILITY
Entity Type: Organization
Location Address: 21001 N TATUM BLVD STE 78-1640 PHOENIX, AZ 85050
Location Phone: (480) 773-7662
Mailing Address: 4300 N MILLER RD STE 240 SCOTTSDALE, AZ 85251
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-06-2021
Last Update Date: 04-06-2021
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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: Clinic/Center Ambulatory Surgical
Taxonomy Code: 261QA1903X
Type: Ambulatory Health Care Facilities

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: DR. MIKE CORMIER DC
Authorized Official Title: MANAGING PARTNER
Authorized Official Phone: (480) 773-7662

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: 03D2155521
Facility Type: Physician Office
Certificate Effective Date: October 01, 2024
Certificate Expiration Date: September 30, 2026
Laboratory Director: ARMEN DERIAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Desert Ridge Pain Facility 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.

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 1760061758, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

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 6 → 12 → 3 0 → 0 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 0 + 6 + 2 + 7 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1760061758.