Medspaspi LLC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDSPASPI LLC.

Practice address

3401 Padre Blvd.
Suite a
South Padre Island, TX 78597

Phone

(956) 616-5225

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Richard Alan Denzler

Title

Owner

Phone

(919) 606-5852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1083260962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PADRE BLVD.",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "78597",
            "telephone_number": "956-616-5225",
            "fax_number": "775-521-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PADRE BLVD.",
            "address_2": "SUITE A",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "78597",
            "telephone_number": "956-616-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPASPI LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "DENZLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-606-5852"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.