Organization Active NPI

Voidwalker Pain Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
National Provider Identifier
1053954271
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Denton Davenport, DONPI 1861791873
Title
Director
Phone
(801) 682-3536

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.