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
- Last updated
- Sep 24, 2020
- 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
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) | 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 DirectoryPractitioners & 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.
-
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
- NPI 1861791873
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.