Individual provider Active NPI

Tudor A Onutu

  • Dance Therapist
  • Phoenix, AZ
National Provider Identifier
1114541877
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
Practice address
101 E Paradise LN
Phoenix, AZ 85022-2515
Phone
(602) 327-6680
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X NU Primary

Addresses

Primary practice location

101 E Paradise LN
Phoenix, AZ 85022-2515

Mailing address

101 E Paradise LN
Phoenix, AZ 85022-2515
Phone (602) 327-6680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.danceoflife.com Direct

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1114541877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PARADISE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222515",
            "telephone_number": "602-327-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARADISE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222515",
            "telephone_number": "602-327-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUTU",
        "first_name": "TUDOR",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.danceoflife.com",
            "affiliation": "N",
            "endpointDescription": "homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 E Paradise Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850222515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.