Active NPI
PK Neurology PLLC
- General Practice Physician
- Mesa, AZ
National Provider Identifier
1104763051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PK NEUROLOGY PLLC
- Practice address
- 455 N Mesa Dr Ste 5
Mesa, AZ 85201-5936 - Phone
- (480) 813-2906
- NPI assigned
- Apr 29, 2026
- 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. Paul Lanier, DO
- Title
- Principal
- Phone
- (801) 471-7340
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X |
Addresses
Primary practice location
455 N Mesa Dr Ste 5
Mesa, AZ 85201-5936
Mailing address
5738 E Star Valley St
Mesa, AZ 85215-9664
Phone (801) 471-7340
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1982969846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1104763051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5738 E STAR VALLEY ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852159664",
"telephone_number": "801-471-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 N MESA DR STE 5",
"city": "MESA",
"state": "AZ",
"postal_code": "852015936",
"telephone_number": "480-813-2906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PK NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "801-471-7340",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.