Organization Active NPI

Arizona Arthritis Clinic

  • Rheumatology Physician
  • Chandler, AZ
National Provider Identifier
1033505755
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ARIZONA ARTHRITIS CLINIC
Practice address
604 W Warner Rd Ste C1
Chandler, AZ 85225-2915
Phone
(480) 372-8200
Fax
(480) 372-8222
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ms. Azelea Enciso, AO
Title
Manager
Phone
(480) 582-1568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

604 W Warner Rd Ste C1
Chandler, AZ 85225-2915

Mailing address

604 W Warner Rd Ste C1
Chandler, AZ 85225-2915
Phone (480) 372-8200

Other identifiers 2

IdentifierTypeStateIssuer
092299MedicaidAZ
1033505755OtherNPI

National Provider Directory

National Provider Directory

Locations

4035 W Chandler Blvd
Chandler, AZ 85226

4035 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 372-8200

7650 S McClintock Dr
Tempe, AZ 85284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14673/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1033505755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-372-8200",
            "fax_number": "480-372-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-372-8200",
            "fax_number": "480-372-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ARTHRITIS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "ENCISO",
        "authorized_official_first_name": "AZELEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-582-1568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092299",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033505755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.