Active NPI
Desert Institute for Spine Disorders, PC
- Specialist
- Scottsdale, AZ
National Provider Identifier
1194878736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28521
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596398 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.