Active NPI
Christopher J Labban D.O., P.C.
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1104163088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2831
- Legal business name
- CHRISTOPHER J LABBAN D.O., P.C.
- Practice address
- 3048 E Baseline Rd Ste 113
Mesa, AZ 85204-7287 - Phone
- (480) 497-9414
- Fax
- (480) 497-8430
- NPI assigned
- Jan 11, 2013
- 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
- Dr. Christopher J Labban, D.O.
- Title
- Medical Director
- Phone
- (480) 497-9414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2831 | AZ | Primary |
Addresses
Primary practice location
3048 E Baseline Rd Ste 113
Mesa, AZ 85204-7287
Mailing address
3048 E Baseline Rd Ste 113
Mesa, AZ 85204-7287
Phone (480) 497-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151374 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/5896/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357862400000",
"number": "1104163088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD STE 113",
"city": "MESA",
"state": "AZ",
"postal_code": "852047287",
"telephone_number": "480-497-9414",
"fax_number": "480-497-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD STE 113",
"city": "MESA",
"state": "AZ",
"postal_code": "852047287",
"telephone_number": "480-497-9414",
"fax_number": "480-497-8430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER J LABBAN D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A",
"authorized_official_last_name": "LABBAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "480-497-9414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "2831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151374",
"state": "AZ"
}
],
"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 Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.