JACK D CONNALLY M.D.
NPI 1023002755
Radiology, Diagnostic Radiology in Dallas,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 8, 2005

Contact Information

10500 Steppington Dr
Dallas,
Post Code: 75230
Phone: (214) 987-4601
Fax: (214) 987-4039

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Jack D Connally M.d. in Dallas - Radiology, Diagnostic Radiology

Jack D Connally M.d. is a Radiology, Diagnostic Radiology in Dallas, . Jack D Connally M.d. practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for Jack D Connally M.d. is 1023002755. The last update date is 2010-01-12.

Jack D Connally M.d.'s current location address is 10500 Steppington Dr, Dallas, . You can contact this provider via phone number (214) 987-4601 and fax number (214) 987-4039. The mailing address for Jack D Connally M.d. is 10500 Steppington Dr, Dallas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023002755
Provider Name
JACK D CONNALLY M.D.
Gender
Male
Entity Type
Individual
Location Address
10500 Steppington Dr, Dallas,
Location Phone
(214) 987-4601
Location Fax
(214) 987-4039
Mailing Address
10500 Steppington Dr, Dallas, Texas(TX)
Mailing Phone
214-987-4601
Mailing Fax
214-987-4039
Enumeration Date
2005-09-08
Last Update Date
2010-01-12
Code Navigator

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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
E0425
License State
Texas (TX)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
134250301 MEDICAID (05) Texas (TX)

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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.
1023002755
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043004710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043004710
2 + 0 + 4 + 3 + 0 + 0 + 4 + 7 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5 5

The NPI number 1023002755 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1023002722 MILBREY RANEY
Individual
Nurse Practitioner, Gerontology 7201B MANCHACA RD
AUSTIN, Texas (TX)
512-443-3577
1023002706 SOUTHWEST LTC--GRANBURY, LTD.
GRANBERRY VILLA NURSING CENTER
Organization
Skilled Nursing Facility 17760 PRESTON RD
DALLAS, Texas (TX)
469-916-6100
1023002698 CHARLES A HOLSHOUSER
Individual
Obstetrics & Gynecology 4499 MEDICAL DR #183
SAN ANTONIO, Texas (TX)
210-692-5200
1023002524 RIVER OAKS SURGICAL CENTER, LLC
Organization
Clinic/Center, Ambulatory Family Planning Facility 4120 SOUTHWEST FWY
HOUSTON, Texas (TX)
713-626-8500
1023002441 DAVID L. SPIVEY
Individual
Optometrist 7125 N BEACH ST
FORT WORTH, Texas (TX)
817-232-2321