Organization Active NPI

Desert Canyon Surgery Center LLC

  • Facial Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1154027720
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
DESERT CANYON SURGERY CENTER LLC
Practice address
8960 E Raintree Dr Ste 110
Scottsdale, AZ 85260-7030
Phone
(480) 590-2697
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Sidney Starkman, MDNPI 1881038966
Title
Owner
Phone
(480) 590-2697

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
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

8960 E Raintree Dr Ste 110
Scottsdale, AZ 85260-7030

Mailing address

8960 E Raintree Dr Ste 110
Scottsdale, AZ 85260-7030

National Provider Directory

National Provider Directory

Locations

8960 E Raintree Dr
Ste 110
Scottsdale, AZ 85260
Phone (480) 590-2697

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1154027720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 E RAINTREE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 E RAINTREE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607030",
            "telephone_number": "480-590-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CANYON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "STARKMAN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-590-2697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "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 Feb 6, 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.