NPIMap

Organization Active NPI

Carl F Diener MD PC

  • Medical Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1114393626
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
5462 Issued in AZ
Legal business name
CARL F DIENER MD PC
Practice address
5375 E Erickson Dr Ste 101
Tucson, AZ 85712-2838
Phone
(520) 327-6267
Fax
(520) 321-0086
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ms. Melanie Skinner
Title
Office Manager
Phone
(520) 327-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 5462 AZ Primary

Addresses

Primary practice location

5375 E Erickson Dr Ste 101
Tucson, AZ 85712-2838

Mailing address

5375 E Erickson Dr Ste 101
Tucson, AZ 85712-2838
Phone (520) 327-6267

Other identifiers 1

IdentifierTypeStateIssuer
230730MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5375 E Erickson Dr
Ste 101
Tucson, AZ 85712
Phone (520) 327-6267

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1114393626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 E ERICKSON DR STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122838",
            "telephone_number": "520-327-6267",
            "fax_number": "520-321-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 E ERICKSON DR STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122838",
            "telephone_number": "520-327-6267",
            "fax_number": "520-321-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F DIENER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-327-6267",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230730",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.