DR. DANIEL JOHN WATTENDORF M.D.
NPI 1760496178
Medical Genetics - Clinical Cytogenetics in Keesler Afb, MS
NPI Status: Active since July 28, 2006
Contact Information
301 FISHER ST
RM 1A132
KEESLER AFB, MS
ZIP 39534
Phone: (228) 377-6393
Fax: (228) 377-6304
- Individual
- Male
- Medical Genetics
- Clinical Cytogenetics
- PECOS Enrolled
About DANIEL WATTENDORF
This page provides the complete NPI Profile along with additional information for Daniel Wattendorf, a provider established in Keesler Afb, Mississippi with a medical specialization in Medical Genetics, focusing in clinical cytogenetics . The healthcare provider is registered in the NPI registry with number 1760496178 assigned on July 2006. The practitioner's primary taxonomy code is 207SC0300X with license number MD067656L (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1760496178
- Provider Name
- DR. DANIEL JOHN WATTENDORF M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 301 FISHER ST RM 1A132 KEESLER AFB, MS 39534
- Location Phone
- (228) 377-6393
- Location Fax
- (228) 377-6304
- Mailing Address
- 301 FISHER ST RM 1A132 KEESLER AFB, MS 39534
- Mailing Phone
- (228) 377-6393
- Mailing Fax
- (228) 377-6304
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 09-11-2025
- Code Navigator
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
Medical Genetics Clinical Cytogenetics
- Taxonomy Code
- 207SC0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD067656L
- License State
- PA
- Taxonomy Description
- A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD067656L (PA) |
| 2 | 207SG0201X | Allopathic & Osteopathic Physicians | Medical Genetics | MD067656L (PA) |
Medicare Participation & PECOS Enrollment Status
Daniel Wattendorf is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. DANIEL JOHN WATTENDORF M.D.
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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 1760496178, 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 20 providers are registered at the same or a nearby location.
BILOXI, MS 39534
KEESLER AFB, MS 39534
BILOXI, MS 39534
KEESLER AFB, MS 39534
KEESLER AFB, MS 39534
BILOXI, MS 39534
KEESLER AFB, MS 39534
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760496178, enumerated as an "individual" on July 28, 2006.
The provider is located at 301 FISHER ST RM 1A132 KEESLER AFB, MS 39534 and the phone number is (228) 377-6393.
Medical Genetics with taxonomy code 207SC0300X and a focus in Clinical Cytogenetics.
