Alpha One Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ALPHA ONE ANESTHESIA LLC

Practice address

1001 E Warner Rd
Suite 103
Tempe, AZ 85284-3224

Phone

(949) 416-3705

NPI assigned

Apr 23, 2017

Organization subpart

No

Name

Jeremy Buckner, DC

Title

DC

Phone

(949) 416-3705

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2017.

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492905600000",
    "number": "1043745458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11180",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840020",
            "telephone_number": "949-416-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WARNER RD",
            "address_2": "SUITE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843224",
            "telephone_number": "949-416-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ONE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-23",
        "last_updated": "2017-04-23",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "949-416-3705",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.