Organization Active NPI

McDowell Mountain Pain Management Center, LLC

  • Pain Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1053667923
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
7889 Issued in AZ
Legal business name
MCDOWELL MOUNTAIN PAIN MANAGEMENT CENTER, LLC
Practice address
10115 E Bell Rd Ste 101
Scottsdale, AZ 85260-2189
Phone
(480) 767-1200
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. Marcus R Perron, DC
Title
Owner
Phone
(480) 767-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 7889 AZ Primary

Addresses

Primary practice location

10115 E Bell Rd Ste 101
Scottsdale, AZ 85260-2189

Mailing address

14700 N Frank Lloyd Wright Blvd
Ste. 155
Scottsdale, AZ 85260-2046
Phone (480) 767-1200

National Provider Directory

National Provider Directory

Locations

14700 N Frank Lloyd Wright Blvd
Ste 155
Scottsdale, AZ 85260
Phone (480) 767-1200

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1053667923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "STE. 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602046",
            "telephone_number": "480-767-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "480-767-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL MOUNTAIN PAIN MANAGEMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "PERRON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-767-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": "7889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.