Active NPI
Voidwalker Pain Corporation
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
National Provider Identifier
1053954271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- VOIDWALKER PAIN CORPORATION
- Practice address
- 16700 N Thompson Peak Pkwy Ste 170
Scottsdale, AZ 85260-2386 - Phone
- (602) 475-5646
- NPI assigned
- Oct 21, 2019
- 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
- Denton Davenport, DO
- Title
- Director
- Phone
- (801) 682-3536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
16700 N Thompson Peak Pkwy Ste 170
Scottsdale, AZ 85260-2386
Mailing address
16700 N Thompson Peak Pkwy
Scottsdale, AZ 85260-2384
Phone (801) 682-3536
National Provider Directory
National Provider DirectoryLocations
16700 N Thompson Peak Pkwy
Scottsdale, AZ 85260
Phone (480) 454-4490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1053954271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16700 N THOMPSON PEAK PKWY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602384",
"telephone_number": "801-682-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16700 N THOMPSON PEAK PKWY STE 170",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602386",
"telephone_number": "602-475-5646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOIDWALKER PAIN CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "DENTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "801-682-3536",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"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 24, 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.