NPIMap

Organization Active NPI

Rum LLC

  • Surgery Physician
  • Glendale, AZ
National Provider Identifier
1033749023
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Kristy Morgan, DCNPI 1912972696
Title
Sole Member
Phone
(602) 889-5833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

20325 N 51st Ave
Ste 102
Glendale, AZ 85308
Phone (602) 253-4271

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI 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.

Verify at the official NPI Registry.