Organization Active NPI

Beauty on Demand LLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1124919972
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEAUTY ON DEMAND LLC
Practice address
7320 E 6TH Ave
Scottsdale, AZ 85251-3402
Phone
(505) 480-1733
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Jerome Jeremy Cordova, MDNPI 1891085361
Title
Owner
Phone
(505) 480-1733

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7320 E 6TH Ave
Scottsdale, AZ 85251-3402

Mailing address

7320 E 6TH Ave
Scottsdale, AZ 85251-3402
Phone (505) 480-1733

National Provider Directory

National Provider Directory

Locations

7320 E 6th Ave
Scottsdale, AZ 85251
Phone (480) 508-8482

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1124919972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 E 6TH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513402",
            "telephone_number": "505-480-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E 6TH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513402",
            "telephone_number": "505-480-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-480-1733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.