Organization Active NPI

Regenerative Orthopaedic Medicine LLC

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1073180949
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REGENERATIVE ORTHOPAEDIC MEDICINE LLC
Practice address
4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331
Phone
(602) 429-0404
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Tonya Gibbs
Title
Manager
Phone
(602) 429-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331

Mailing address

4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331
Phone (602) 429-0404

National Provider Directory

National Provider Directory

Locations

4400 N Scottsdale Rd
Ste 988
Scottsdale, AZ 85251
Phone (602) 429-0404

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1073180949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD STE 9-88",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "602-429-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD STE 9-88",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "602-429-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE ORTHOPAEDIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-429-0404"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jun 8, 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.