Fresh Start Bone and Joint Institue

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FRESH START BONE AND JOINT INSTITUE

Practice address

485 S Watson Rd Ste 103-438
Buckeye, AZ 85326-3452

Phone

(623) 535-9777

Fax

(623) 236-3197

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Lizeth Rivas

Title

Billing Manager

Phone

(623) 535-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1154942829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S WATSON RD STE 103-438",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263452",
            "telephone_number": "623-535-9777",
            "fax_number": "623-236-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S WATSON RD STE 103-438",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263452",
            "telephone_number": "623-535-9777",
            "fax_number": "623-236-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START BONE AND JOINT INSTITUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "LIZETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "623-535-9777"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.