Active NPI
Michael Orieukwu
- Child Intellectual and/or Developmental Disabilities Respite Care
- Peoria, AZ
National Provider Identifier
1104593961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 6750 W Olive Ave Ste 123
Peoria, AZ 85345-8887 - Phone
- (623) 248-1454
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | AZ | Primary |
Addresses
Primary practice location
6750 W Olive Ave Ste 123
Peoria, AZ 85345-8887
Mailing address
6750 W Olive Ave Ste 123
Peoria, AZ 85345-8887
Phone (623) 248-1454
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Desktops |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1104593961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 W OLIVE AVE STE 123",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458887",
"telephone_number": "623-248-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W OLIVE AVE STE 123",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458887",
"telephone_number": "623-248-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORIEUKWU",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Desktops",
"affiliation": "N",
"address_1": "6750 W Olive Ave Ste 123",
"city": "Peoria",
"state": "AZ",
"country_code": "US",
"postal_code": "853458887",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.