STEPHEN KREIDLER
NPI 1801496625
Military Health Care Provider - Independent Duty Medical Technicians in Rio Rancho, NM

NPI Status: Active since October 30, 2020

Contact Information

5453 ROOSEVELT LOOP NE
RIO RANCHO, NM
ZIP 87144
Phone: (253) 330-0588

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About STEPHEN KREIDLER

This page provides the complete NPI Profile along with additional information for Stephen Kreidler, a provider established in Rio Rancho, New Mexico with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1801496625 assigned on October 2020. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1801496625
Provider Name
STEPHEN KREIDLER
Gender
Male
Entity Type
Individual
Location Address
5453 ROOSEVELT LOOP NE RIO RANCHO, NM 87144
Location Phone
(253) 330-0588
Mailing Address
5453 ROOSEVELT LOOP NE RIO RANCHO, NM 87144
Mailing Phone
(253) 330-0588
Is Sole Proprietor?
No
Enumeration Date
10-30-2020
Last Update Date
10-30-2020
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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

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801496625
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801891264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 9 + 1 + 2 + 6 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1801496625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801496625, enumerated as an "individual" on October 30, 2020.

The provider is located at 5453 ROOSEVELT LOOP NE RIO RANCHO, NM 87144 and the phone number is (253) 330-0588.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.