Surgical 1St Assists, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA0090 Issued in DC

Legal business name

SURGICAL 1ST ASSISTS, LLC

Practice address

1900 W Carla Vista Dr
#7603
Chandler, AZ 85246-4001

Phone

(602) 315-5125

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dennis White, M.D.

Title

Member

Phone

(602) 315-5125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1104290162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7603",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467603",
            "telephone_number": "602-315-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W CARLA VISTA DR",
            "address_2": "#7603",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852464001",
            "telephone_number": "602-315-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL 1ST ASSISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-315-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA0090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Surgical Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.