Organization Active NPI

Desert Institute for Spine Disorders, PC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1194878736
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28521 Issued in AZ
Legal business name
DESERT INSTITUTE FOR SPINE DISORDERS, PC
Practice address
8573 E Princess Dr
Suite 221
Scottsdale, AZ 85255-7819
Phone
(480) 656-4048
Fax
(480) 247-6146
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dr. Duane D.H. Pitt, MD
Title
President
Phone
(480) 656-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 28521 AZ Primary

Addresses

Primary practice location

8573 E Princess Dr
Suite 221
Scottsdale, AZ 85255-7819

Mailing address

8573 E Princess Dr
Suite 221
Scottsdale, AZ 85255-7819
Phone (480) 656-4048

Other identifiers 1

IdentifierTypeStateIssuer
596398MedicaidAZ

National Provider Directory

National Provider Directory

Locations

8573 E Princess Dr
Ste 221
Scottsdale, AZ 85255
Phone (480) 656-4048

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1194878736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR",
            "address_2": "SUITE 221",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-656-4048",
            "fax_number": "480-247-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR",
            "address_2": "SUITE 221",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-656-4048",
            "fax_number": "480-247-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT INSTITUTE FOR SPINE DISORDERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "D.H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-656-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596398",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.