Organization Active NPI

Chambers Clinic LLC

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1164050746
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHAMBERS CLINIC LLC
Practice address
20801 N Scottsdale Rd Ste 205
Scottsdale, AZ 85255-7411
Phone
(480) 389-3265
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Keith Matthew Chambers, NMDNPI 1528396488
Title
President
Phone
(480) 389-3265

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

20801 N Scottsdale Rd Ste 205
Scottsdale, AZ 85255-7411

Mailing address

20801 N Scottsdale Rd Ste 205
Scottsdale, AZ 85255-7411
Phone (480) 389-3265

Other practice location 1

600 E Baseline Rd Ste B-2
Tempe, AZ 85283-1266
Phone (480) 389-3265

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2198660Chambers Clinic20801 N Scottsdale Rd Ste 205, Scottsdale, AZ 85255Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

20801 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85255
Phone (480) 309-7676

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25642/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1164050746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557411",
            "telephone_number": "480-389-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557411",
            "telephone_number": "480-389-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Baseline Rd Ste B-2",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831266",
            "country_code": "US",
            "telephone_number": "480-389-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAMBERS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-389-3265",
        "authorized_official_credential": "NMD"
    },
    "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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.