Organization Active NPI

Desert Mountain Plastic Surgeons, PC

  • Plastic and Reconstructive Surgery Physician
  • Chandler, AZ
National Provider Identifier
1184912164
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DESERT MOUNTAIN PLASTIC SURGEONS, PC
Practice address
895 S Dobson Rd
Suite 1
Chandler, AZ 85224-5718
Phone
(480) 899-3737
Fax
(480) 899-6262
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
David M Creech, M.D.
Title
President
Phone
(480) 899-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

895 S Dobson Rd
Suite 1
Chandler, AZ 85224-5718

Mailing address

PO Box 22958
Cleveland, OH 44122-0958
Phone (216) 595-9600

National Provider Directory

National Provider Directory

Locations

485 S Dobson Rd
Ste 217
Chandler, AZ 85224
Phone (480) 899-3737

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1184912164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S DOBSON RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245718",
            "telephone_number": "480-899-3737",
            "fax_number": "480-899-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN PLASTIC SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-899-3737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.