Active NPI
Rum LLC
- Surgery Physician
- Glendale, AZ
National Provider Identifier
1033749023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RUM LLC
- Practice address
- 20325 N 51St Ave Ste 102
Glendale, AZ 85308-5665 - Phone
- (480) 930-4018
- NPI assigned
- Jan 19, 2020
- 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
- Kristy Morgan, DC
- Title
- Sole Member
- Phone
- (602) 889-5833
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
20325 N 51St Ave Ste 102
Glendale, AZ 85308-5665
Mailing address
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Phone (623) 935-9920
Other practice location 1
1984 E Baseline Rd
Tempe, AZ 85283-1535
Phone (480) 930-4018
Other practice location 2
9250 W Thomas Rd Ste 220
Phoenix, AZ 85037-3382
Phone (480) 930-4018
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594771200000",
"number": "1033749023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12409 W INDIAN SCHOOL RD STE B210",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853929505",
"telephone_number": "623-935-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085665",
"telephone_number": "480-930-4018"
}
],
"practiceLocations": [
{
"address_1": "1984 E Baseline Rd",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852831535",
"country_code": "US",
"telephone_number": "480-930-4018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9250 W Thomas Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373382",
"country_code": "US",
"telephone_number": "480-930-4018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RUM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-19",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "602-889-5833",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.