Desert Valley ENT, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

DESERT VALLEY ENT, PC

Practice address

2680 S Val Vista Dr
BLDG 13, Unit 175
Gilbert, AZ 85295-2152

Phone

(480) 784-0110

Fax

(480) 784-0220

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

James Reidy, DONPI 1174551014

Title

Physician

Phone

(480) 784-0110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Reidy, D.O.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Gilbert, AZ
  • NPI 1174551014
  Medicare reassignment NPD Authorized official
• Roger Tolman Knighton Jr., M.N.S. CCC-A

  • Audiologist
  • Tempe, AZ
  • NPI 1295908168
  Medicare reassignment NPD
• Heath Charles Tennyson, MD

  • Otolaryngology Physician
  • Bellefontaine, OH
  • NPI 1700856069

  AZ

  Medicare reassignment NPD
• Jennifer M Krause, MA, CCC-A

  • Audiologist
  • Gilbert, AZ
  • NPI 1073820106
  NPD (past)
• Deirdre Patricia Mountjoy, NP

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1730262874
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1184713430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "BLDG 13, UNIT 175",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-784-0110",
            "fax_number": "480-784-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "BLDG 13, UNIT 175",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-784-0110",
            "fax_number": "480-784-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY ENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-784-0110",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Sky Assisting
• Desert Sky Dermatology, PLLC
• Desert Spine and Sports Physicians PLLC
• Desert Star Dental, PLLC (Mirador Dental)
• Desert Sun Health Centers, PC
• Desert Valley Gastroenterology, LLC
• Desert Valley Neurology, LLC
• Desert Valley Oral Surgery
• Desert View Family Medicine PLLC
• Desert View Ultrasound, Inc.

• Otolaryngology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.