Active NPI
Grayhawk Family Practice PC
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1083700876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRAYHAWK FAMILY PRACTICE PC
- Practice address
- 21803 N Scottsdale Rd Ste 200
Scottsdale, AZ 85255-7446 - Phone
- (480) 473-7003
- Fax
- (480) 473-4499
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arnetta King
- Title
- Owner
- Phone
- (480) 473-7003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
21803 N Scottsdale Rd Ste 200
Scottsdale, AZ 85255-7446
Mailing address
21803 N Scottsdale Rd Ste 200
Scottsdale, AZ 85255-7446
Phone (480) 473-7003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529935 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
7920 E Thompson Peak Pkwy
Ste 100
Scottsdale, AZ 85255
Phone (480) 473-7003
7920 E Thompson Peak Pkwy
Ste 103
Scottsdale, AZ 85255
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1063898674
-
- General Practice Physician
- Phoenix, AZ
- NPI 1457598815
Family Medicine
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1134731144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1083700876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21803 N SCOTTSDALE RD STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557446",
"telephone_number": "480-473-7003",
"fax_number": "480-473-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21803 N SCOTTSDALE RD STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557446",
"telephone_number": "480-473-7003",
"fax_number": "480-473-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYHAWK FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "ARNETTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-473-7003"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529935",
"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 Mar 27, 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.