Organization Active NPI

Diabetic and Neuropathy Treatment Centers LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Scottsdale, AZ
National Provider Identifier
1063783603
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
DIABETIC AND NEUROPATHY TREATMENT CENTERS LLC
Practice address
8591 E Bell Rd
Ste 102
Scottsdale, AZ 85260-1305
Phone
(480) 459-5992
Fax
(866) 611-9440
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Mr. Paul Maguire
Title
Co-Owner
Phone
(510) 928-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

8591 E Bell Rd
Ste 102
Scottsdale, AZ 85260-1305

Mailing address

8591 E Bell Rd
Ste 102
Scottsdale, AZ 85260-1305
Phone (480) 459-5992

Other identifiers 1

IdentifierTypeStateIssuer
880708MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2610 N 3rd St
Ste A1
Phoenix, AZ 85004
Phone (602) 277-6181

18731 N Reems Rd
Ste 640
Surprise, AZ 85374
Phone (623) 328-8577

6340 N Campbell Ave
Ste 256
Tucson, AZ 85718
Phone (520) 441-9733

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1063783603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 E BELL RD",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601305",
            "telephone_number": "480-459-5992",
            "fax_number": "866-611-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 E BELL RD",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601305",
            "telephone_number": "480-459-5992",
            "fax_number": "866-611-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC AND NEUROPATHY TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-928-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880708",
            "state": "AZ"
        }
    ],
    "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 Jan 30, 2014; 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.