Organization Active NPI

Desert Injury Group, LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1184508285
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DESERT INJURY GROUP, LLC
Practice address
444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817
Phone
(480) 223-9314
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Gregory C Etienne, PANPI 1497384168
Title
Ceo
Phone
(480) 223-9314

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817

Mailing address

5830 W Thunderbird Rd Ste B8-1069
Glendale, AZ 85306-4654
Phone (480) 223-9314

National Provider Directory

National Provider Directory

Locations

5830 W Thunderbird Rd
Ste B81069
Glendale, AZ 85306

Practitioners & affiliated clinicians

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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1184508285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD STE B8-1069",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064654",
            "telephone_number": "480-223-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133817",
            "telephone_number": "480-223-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT INJURY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-223-9314",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 1, 2025; 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.