Get Xxnxvonline

Filling out the Xxnxvonline form is a straightforward process designed to assist healthcare providers in obtaining their unique National Provider Identifier (NPI). This guide provides a step-by-step approach to ensure that all necessary information is accurately captured.

Follow the steps to complete the Xxnxvonline form effectively.

1. Click the 'Get Form' button to obtain the form and open it for editing.
2. Begin by entering the 10-position all-numeric identification number assigned to your organization. This is essential for uniquely identifying your healthcare service.
3. Select the entity type from the provided options, which distinguishes whether the provider is an individual or an organization. Options are: 1 for person, 2 for non-person.
4. Answer whether the organization is a subpart. If you indicate ‘Yes’, fill out the Parent Organization Legal Business Name and the Parent Organization Taxpayer Identification Number fields.
5. Provide the legal business name of your organization, ensuring that you include only allowable special characters.
6. Input the 'Provider Other Organization Name', if your organization is known by any other names. Specify the type of name using the corresponding code.
7. Detail the first line of your business mailing address, including city, state, postal code, and country. Also, include the associated telephone and fax numbers.
8. Offer information about your business practice location, ensuring that the primary location is accurately detailed with the same data elements as the mailing address.
9. Fill out the provider enumeration date and last update date, reflecting when your organization was assigned the NPI and when it was last modified.
10. Complete the authorized official's details, including name, title, and contact information. This person is responsible for submitting the NPI application.
11. Select the healthcare provider taxonomy code(s) related to the organization. Ensure to indicate which taxonomy is primary using the corresponding switches.
12. Input any additional provider identifiers and corresponding details as required for compliance.
13. Once all sections have been filled out, review your entries for accuracy before proceeding to save changes, download, print, or share the completed form.

Start filling out your Xxnxvonline form online today to ensure compliance and accessibility in your healthcare services.