Active NPI
Aurora Concierge Care & Med Spa LLC
- Pain Medicine Physician
- Flagstaff, AZ
National Provider Identifier
1114790276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- AURORA CONCIERGE CARE & MED SPA LLC
- Practice address
- 1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217 - Phone
- (928) 395-3296
- NPI assigned
- Nov 1, 2023
- 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
- Vicki Belt
- Title
- Owner
- Phone
- (928) 395-3296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
Mailing address
1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1114790276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 W UNIVERSITY AVE STE 130",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 W UNIVERSITY AVE STE 130",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017217",
"telephone_number": "928-395-3296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA CONCIERGE CARE & MED SPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "BELT",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-395-3296"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.