Organization Active NPI

Anthem Spinal Care, LLC

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1124240213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
7634 Issued in AZ
Legal business name
ANTHEM SPINAL CARE, LLC
Practice address
42212 N 41St Dr
Suite 102
Phoenix, AZ 85086-3815
Phone
(623) 399-9970
Fax
(623) 399-9974
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert DykhuizenNPI 1720329386
Title
Owner
Phone
(623) 399-9970

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 7634 AZ Primary

Addresses

Primary practice location

42212 N 41St Dr
Suite 102
Phoenix, AZ 85086-3815

Mailing address

42212 N 41St Dr
Suite 102
Phoenix, AZ 85086-3815

National Provider Directory

National Provider Directory

Locations

42212 N 41st Dr
Ste 102
Anthem, AZ 85086
Phone (623) 399-9970

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124240213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863815",
            "telephone_number": "623-399-9970",
            "fax_number": "623-399-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM SPINAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYKHUIZEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-399-9970"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "7634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 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.