Organization Active NPI

Desert Center for Allergy and Chest Diseases

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1003991753
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1549 Issued in AZ
Legal business name
DESERT CENTER FOR ALLERGY AND CHEST DISEASES
Practice address
6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone
(602) 788-7211
Fax
(602) 788-1890
NPI assigned
Oct 25, 2006
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Stubblefield
Title
Office Manger
Phone
(602) 788-7211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 1549 AZ
Pulmonary Disease Physician 207RP1001X 1549 AZ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 31223 AZ

Addresses

Primary practice location

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158

Mailing address

6970 E Chauncey LN Ste 100
Phoenix, AZ 85054-5158
Phone (602) 788-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000800 AZ Part B Supplier - Clinic/Group Practice 2668453697 Receives reassigned benefits from 11 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3815 E Bell Rd
Ste 4400
Phoenix, AZ 85032
Phone (602) 569-8300

6970 E Chauncey Ln
Ste 100
Phoenix, AZ 85054
Phone (602) 788-7211

10290 N 92nd St
Scottsdale, AZ 85258
Phone (480) 657-7610

8575 E Princess Dr
Ste 201
Scottsdale, AZ 85255
Phone (480) 993-2269

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1003991753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 E CHAUNCEY LN STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545158",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CENTER FOR ALLERGY AND CHEST DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "602-788-7211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "1549",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "1549",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "31223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.