Active NPI
Endocrinology, Diabetes, and Thyroid Center of Arizona PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Glendale, AZ
National Provider Identifier
1003005893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 36320
- Legal business name
- ENDOCRINOLOGY, DIABETES, AND THYROID CENTER OF ARIZONA PLLC
- Practice address
- 20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125 - Phone
- (623) 266-7858
- Fax
- (623) 444-9810
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasjeet Kaur
- Title
- MD
- Phone
- (602) 885-7003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 36320 | AZ | Primary |
Addresses
Primary practice location
20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125
Mailing address
20100 N 51St Ave
Suite F-635
Glendale, AZ 85308-5125
Phone (623) 266-7858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20100 N 51st Ave
Ste F635
Glendale, AZ 85308
Phone (623) 266-7858
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Glendale, AZ
- NPI 1417979907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1003005893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20100 N 51ST AVE",
"address_2": "SUITE F-635",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085125",
"telephone_number": "623-266-7858",
"fax_number": "623-444-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20100 N 51ST AVE",
"address_2": "SUITE F-635",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085125",
"telephone_number": "623-266-7858",
"fax_number": "623-444-9810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY, DIABETES, AND THYROID CENTER OF ARIZONA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "KAUR",
"authorized_official_first_name": "JASJEET",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "602-885-7003"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "36320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.