Organization Active NPI

Redirect Health Centers, LLC

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1083221634
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDIRECT HEALTH CENTERS, LLC
Practice address
16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone
(623) 334-4000
NPI assigned
Sep 28, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Janice G Johnston, MD
Title
Medical Director
Phone
(623) 334-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711

Mailing address

13430 N Scottsdale Rd Ste 200
Scottsdale, AZ 85254-4058
Phone (623) 334-4000

Other practice location 1

17061 N Avenue Of The Arts Ste 100
Surprise, AZ 85378-6996
Phone (623) 334-4000

Other practice location 2

5845 E Still Cir Ste 104
Mesa, AZ 85206-3635
Phone (623) 334-4000

Other practice location 3

2629 N Scottsdale Rd Ste 200
Scottsdale, AZ 85257-1370
Phone (623) 334-4000

National Provider Directory

National Provider Directory

Locations

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1083221634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544058",
            "telephone_number": "623-334-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17061 N Avenue Of The Arts Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853786996",
            "country_code": "US",
            "telephone_number": "623-334-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5845 E Still Cir Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063635",
            "country_code": "US",
            "telephone_number": "623-334-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 N Scottsdale Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852571370",
            "country_code": "US",
            "telephone_number": "623-334-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDIRECT HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-334-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.