NPIMap

Organization Active NPI

Pentz Health Services LLC

Doing business as Nevy Health

  • Sports Physician Chiropractor
  • Mesa, AZ
National Provider Identifier
1184762890
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5900 Issued in AZ
Legal business name
PENTZ HEALTH SERVICES LLC
Doing business as
Nevy Health
Practice address
6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391
Phone
(480) 833-0302
Fax
(480) 494-5770
NPI assigned
Feb 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cody Reed
Title
Cio
Phone
(480) 833-0302

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5115 AZ
Nurse Practitioner 363L00000X AP4770 AZ
Chiropractor 111N00000X 6001 AZ
Chiropractor 111N00000X 8169 AZ
Chiropractor 111N00000X 8671 AZ
Sports Physician Chiropractor 111NS0005X 5900 AZ Primary
Physical Therapist 225100000X 6903 AZ

Addresses

Primary practice location

6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391

Mailing address

6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391
Phone (480) 833-0302

Other names 1

  • Nevy Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000709 AZ Part B Supplier - Clinic/Group Practice 1557392214 Receives reassigned benefits from 14 practitioners
Practice locations: Mesa, AZ

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
03D2173394Pentz Health Services Dba Nevy Health6402 E Superstition Springs Blvd Ste 123, Mesa, AZ 85206Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184762890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064391",
            "telephone_number": "480-833-0302",
            "fax_number": "480-494-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064391",
            "telephone_number": "480-833-0302",
            "fax_number": "480-494-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTZ HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "480-833-0302"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5115",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4770",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6001",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8169",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8671",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "5900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevy Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevy Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.