Active NPI
Arthur Jesse Tallis, DPM
- Podiatrist
- Phoenix, AZ
National Provider Identifier
1184736944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 213
- Practice address
- 6707 N 19TH Ave
Suite 103
Phoenix, AZ 85015-1104 - Phone
- (602) 274-4100
- Fax
- (602) 246-1565
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 213 | AZ | Primary |
Addresses
Primary practice location
6707 N 19TH Ave
Suite 103
Phoenix, AZ 85015-1104
Mailing address
6707 N 19TH Ave
Suite 103
Phoenix, AZ 85015-1104
Phone (602) 274-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184736944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 N 19TH AVE",
"address_2": "SUITE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151104",
"telephone_number": "602-274-4100",
"fax_number": "602-246-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 N 19TH AVE",
"address_2": "SUITE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151104",
"telephone_number": "602-274-4100",
"fax_number": "602-246-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLIS",
"first_name": "ARTHUR",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "213",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.