Active NPI
Michael Messer, MANAGER
- Assisted Living Facility
- Scottsdale, AZ
National Provider Identifier
1174222517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11884H
- Practice address
- 13637 N 87TH St
Scottsdale, AZ 85260-4154 - Phone
- (480) 743-2111
- Fax
- (480) 546-4219
- NPI assigned
- Feb 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11884H | AZ | Primary |
Addresses
Primary practice location
13637 N 87TH St
Scottsdale, AZ 85260-4154
Mailing address
13637 N 87TH St
Scottsdale, AZ 85260-4154
Phone (480) 743-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11884H | AZ | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1174222517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13637 N 87TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604154",
"telephone_number": "480-743-2111",
"fax_number": "480-546-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13637 N 87TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604154",
"telephone_number": "480-743-2111",
"fax_number": "480-546-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSER",
"first_name": "MICHAEL",
"credential": "MANAGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL11884H",
"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 24, 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.