Individual provider Active NPI

Muhammad M Mutazammil

  • Driver
  • Phoenix, AZ
National Provider Identifier
1063095909
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
2506 W Dunlap Ave Apt 236
Phoenix, AZ 85021-2831
Phone
(480) 886-4137
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

2506 W Dunlap Ave Apt 236
Phoenix, AZ 85021-2831

Mailing address

2506 W Dunlap Ave Apt 236
Phoenix, AZ 85021-2831
Phone (480) 886-4137

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Peacefultransportaion@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1063095909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 W DUNLAP AVE APT 236",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212831",
            "telephone_number": "480-886-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 W DUNLAP AVE APT 236",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212831",
            "telephone_number": "480-886-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAZAMMIL",
        "first_name": "MUHAMMAD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Peacefultransportaion@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "2506 W Dunlap Ave Apt 236",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850212831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.