EXCEL FAMILY MEDICINE & PEDIATRICS
NPI 1790179802
Clinic/Center - Multi-Specialty in Desoto, TX

NPI Status: Active since March 26, 2015

Contact Information

2707 BOLTON BOONE DR STE 100
DESOTO, TX
ZIP 75115
Phone: (469) 206-2630
Fax: (214) 730-4281

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About EXCEL FAMILY MEDICINE & PEDIATRICS

This page provides the complete NPI Profile along with additional information for Excel Family Medicine & Pediatrics, a provider established in Desoto, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1790179802 assigned on March 2015. The practitioner's primary taxonomy code is 261QM1300X with license number AP125211 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Excel Family Medicine & Pediatrics. The authorized official of this NPI record is Mrs. Margaret Martinez (Practice Administrator)

NPI
1790179802
Provider Legal Name
SPECIALTY CLINICS OF DALLAS
Other Organization Name
EXCEL FAMILY MEDICINE & PEDIATRICS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2707 BOLTON BOONE DR STE 100 DESOTO, TX 75115
Location Phone
(469) 206-2630
Location Fax
(214) 730-4281
Mailing Address
2707 BOLTON BOONE DR STE 100 DESOTO, TX 75115
Mailing Phone
(469) 206-2630
Mailing Fax
(214) 730-4281
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2015
Last Update Date
04-07-2021
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
AP125211
License State
TX

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

MRS. MARGARET MARTINEZ

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(469) 206-2630

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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 1790179802, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 2 + 7 + 1 + 8 + 8 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790179802.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
2707 BOLTON BOONE DR STE 100
DESOTO, TX 75115
Family Medicine
2707 BOLTON BOONE DR STE 100
DESOTO, TX 75115
Nurse Practitioner (Primary Care)
2707 BOLTON BOONE DR STE 100
DESOTO, TX 75115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790179802, enumerated as an "organization" on March 26, 2015.

The provider is located at 2707 BOLTON BOONE DR STE 100 DESOTO, TX 75115 and the phone number is (469) 206-2630.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.