Active NPI
Life365, Inc.
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1053257022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- LIFE365, INC.
- Practice address
- 1475 N Scottsdale Rd Ste 200
Scottsdale, AZ 85257-3538 - Phone
- (888) 818-2322
- NPI assigned
- Apr 23, 2026
- 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
- Mr. Kent Edward Dicks
- Title
- Ceo
- Phone
- (888) 818-2322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1475 N Scottsdale Rd Ste 200
Scottsdale, AZ 85257-3538
Mailing address
10105 E Via Linda Ste 103-285
Scottsdale, AZ 85258-5365
Phone (888) 818-2322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1053257022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 E VIA LINDA STE 103-285",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585365",
"telephone_number": "888-818-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 N SCOTTSDALE RD STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852573538",
"telephone_number": "888-818-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE365, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "DICKS",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-818-2322",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Rachel Liewer, LMSW
- Life and Favor Home Care LLC
- Life Care Centers of America, Inc. (Scottsdale Heritage Court)
- Life Chiropractic North Scottsdale LLC
- Life in Balance Integrated Health PLLC
- Lifeline Professional Counseling Services, Inc
- Lifescape Medical Associates
- Lifescape Medical Associates, PC
- Lifespan Hospice Care LLC (Lifespan Hospice Care)
- Lifestyle Health Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.