NPIMap

Organization Active NPI

John Bravo Dacanay MD PC

  • Obstetrics & Gynecology Physician
  • Payson, AZ
National Provider Identifier
1144499336
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37784 Issued in AZ
Legal business name
JOHN BRAVO DACANAY MD PC
Practice address
120 E Main St
Suite a
Payson, AZ 85541-5618
Phone
(928) 474-9744
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
John B Dacanay
Title
Owner
Phone
(928) 474-9744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 37784 AZ Primary

Addresses

Primary practice location

120 E Main St
Suite a
Payson, AZ 85541-5618

Mailing address

120 E Main St
Suite a
Payson, AZ 85541-5618
Phone (928) 474-9744

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1144499336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST",
            "address_2": "SUITE A",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415618",
            "telephone_number": "928-474-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST",
            "address_2": "SUITE A",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415618",
            "telephone_number": "928-474-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BRAVO DACANAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "DACANAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-474-9744"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.