NPIMap

Organization Active NPI

Paradise Healing Retreat

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1104181486
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0839 Issued in AZ
Legal business name
PARADISE HEALING RETREAT
Practice address
7139 E Thunderbird Rd
Suite 2
Scottsdale, AZ 85254-4075
Phone
(480) 483-0969
Fax
(480) 483-0968
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Sook J Lee, ACUPUNCTURISTNPI 1679828206
Title
President
Phone
(480) 483-0969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0839 AZ Primary

Addresses

Primary practice location

7139 E Thunderbird Rd
Suite 2
Scottsdale, AZ 85254-4075

Mailing address

7139 E Thunderbird Rd
Suite 2
Scottsdale, AZ 85254-4075
Phone (480) 483-0969

National Provider Directory

National Provider Directory

Locations

7139 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (480) 483-0969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1104181486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 E THUNDERBIRD RD",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544075",
            "telephone_number": "480-483-0969",
            "fax_number": "480-483-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 E THUNDERBIRD RD",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544075",
            "telephone_number": "480-483-0969",
            "fax_number": "480-483-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HEALING RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOOK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-483-0969",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "0839",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 12, 2012; 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.