MODERN SHOE SHOP
NPI 1811054752
Prosthetic/Orthotic Supplier in Dixon, IL
NPI Status: Active since January 02, 2007
Contact Information
1309 N GALENA AVE
SUITE 110
DIXON, IL
ZIP 61021
Phone: (815) 284-3007
Fax: (815) 284-3007
- Organization
- Prosthetic/Orthotic Supplier
About MODERN SHOE SHOP
This page provides the complete NPI Profile along with additional information for Modern Shoe Shop, a provider established in Dixon, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1811054752 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Modern Shoe Shop. The authorized official of this NPI record is Mr. Gary Lee Michel C Ped (President)
- NPI
- 1811054752
- Provider Legal Name
- FRANK DEUTSCH CORPORATION
- Other Organization Name
- MODERN SHOE SHOP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1309 N GALENA AVE SUITE 110 DIXON, IL 61021
- Location Phone
- (815) 284-3007
- Location Fax
- (815) 284-3007
- Mailing Address
- 1309 N GALENA AVE SUITE 110 DIXON, IL 61021
- Mailing Phone
- (815) 284-3007
- Mailing Fax
- (815) 284-3007
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 08-22-2020
- 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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License State
- IL
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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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 1811054752, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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.
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DIXON, IL 61021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811054752, enumerated as an "organization" on January 02, 2007.
The provider is located at 1309 N GALENA AVE SUITE 110 DIXON, IL 61021 and the phone number is (815) 284-3007.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
