Organization Active NPI

Copper Code Correlation LLC

  • Health Service Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1154024933
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COPPER CODE CORRELATION LLC
Practice address
14804 N Cave Creek Rd Ste 212
Phoenix, AZ 85032-4945
Phone
(252) 561-5335
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Alexis Sutton
Title
Ceo
Phone
(252) 561-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

14804 N Cave Creek Rd Ste 212
Phoenix, AZ 85032-4945

Mailing address

11519 Tribal Dr
Charlotte, NC 28214-8959
Phone (252) 561-5335

National Provider Directory

National Provider Directory

Locations

14804 N Cave Creek Rd
Ste 212
Phoenix, AZ 85032
Phone (252) 561-5335

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1154024933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11519 TRIBAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148959",
            "telephone_number": "252-561-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 N CAVE CREEK RD STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324945",
            "telephone_number": "252-561-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CODE CORRELATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-561-5335"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Mar 22, 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.

Verify at the official NPI Registry.