Organization Active NPI

Arizona Institute for Osteoporosis Management LLC

  • Specialist
  • Mesa, AZ
National Provider Identifier
1093375123
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA INSTITUTE FOR OSTEOPOROSIS MANAGEMENT LLC
Practice address
4566 E Inverness Ave Ste 208
Mesa, AZ 85206-4634
Phone
(480) 993-1300
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Jenna Fisher
Title
Manager
Phone
(480) 993-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

4566 E Inverness Ave Ste 208
Mesa, AZ 85206-4634

Mailing address

4566 E Inverness Ave Ste 208
Mesa, AZ 85206-4634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320001770 AZ Part B Supplier - Clinic/Group Practice 6507294725 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

4566 E Inverness Ave
Ste 208
Mesa, AZ 85206
Phone (480) 993-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1093375123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-993-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE FOR OSTEOPOROSIS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-993-1300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.