CLOVIS SURGERY CENTER NM LLC
NPI 1912512542
Orthopaedic Surgery - Foot and Ankle Surgery in Clovis, NM

NPI Status: Active since September 10, 2020

Contact Information

1820 W 21ST ST
CLOVIS, NM
ZIP 88101
Phone: (575) 935-3668
Fax: (575) 935-3669

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  • Organization
  • Orthopaedic Surgery
  • Foot and Ankle Surgery
  • CLIA Number: 32D2215059
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-25-2027

About CLOVIS SURGERY CENTER NM LLC

This page provides the complete NPI Profile along with additional information for Clovis Surgery Center Nm Llc, a provider established in Clovis, New Mexico operating as a Orthopaedic Surgery, focusing in foot and ankle surgery . The healthcare provider is registered in the NPI registry with number 1912512542 assigned on September 2020. The practitioner's primary taxonomy code is 207XX0004X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Devin Wahlen Dpm (Owner)

NPI
1912512542
Provider Name
CLOVIS SURGERY CENTER NM LLC
Entity Type
Organization
Location Address
1820 W 21ST ST CLOVIS, NM 88101
Location Phone
(575) 935-3668
Location Fax
(575) 935-3669
Mailing Address
921 E 21ST ST STE C CLOVIS, NM 88101
Mailing Phone
(575) 935-3668
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2020
Last Update Date
09-10-2020
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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

Orthopaedic Surgery Foot and Ankle Surgery

Taxonomy Code
207XX0004X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DEVIN WAHLEN DPM

Authorized Official Title
OWNER
Authorized Official Phone
(575) 935-3668

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
32D2215059
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
DR. DEVIN D. WAHLEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clovis Surgery Center Nm Llc 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.

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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 1912512542, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
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 1 → 2 5 → 10 → 1 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 0 + 1 + 4 + 5 + 8 + 24 = 58

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.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1912512542.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Surgery
1820 W 21ST ST
CLOVIS, NM 88101
Surgery
1820 W 21ST ST
CLOVIS, NM 88101
Clinic/Center (Ambulatory Surgical)
1820 W 21ST ST
CLOVIS, NM 88101
Clinic/Center (Ambulatory Surgical)
1820 W 21ST ST
CLOVIS, NM 88101
Podiatrist (Foot & Ankle Surgery)
1820 W 21ST ST
CLOVIS, NM 88101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912512542, enumerated as an "organization" on September 10, 2020.

The provider is located at 1820 W 21ST ST CLOVIS, NM 88101 and the phone number is (575) 935-3668.

Orthopaedic Surgery with taxonomy code 207XX0004X and a focus in Foot and Ankle Surgery.