Active NPI
Tanner Joseph Quiggle, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1205538493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 78526
- Practice address
- 9610 N Metro Pkwy W
Phoenix, AZ 85051-1402 - Phone
- (480) 964-2273
- Fax
- (602) 843-1560
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 78526 | AZ | Primary |
Addresses
Primary practice location
9610 N Metro Pkwy W
Phoenix, AZ 85051-1402
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Other practice location 1
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 598-4835
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- West Virginia University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3033 N Central Ave
Suite 145
Phoenix, AZ 85012-2808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1205538493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N CENTRAL AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122808",
"telephone_number": "623-583-3001",
"fax_number": "623-974-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 N METRO PKWY W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511402",
"telephone_number": "480-964-2273",
"fax_number": "602-843-1560"
}
],
"practiceLocations": [
{
"address_1": "6040 University Town Centre Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265012421",
"country_code": "US",
"telephone_number": "304-598-4835",
"fax_number": "304-285-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIGGLE",
"first_name": "TANNER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "78526",
"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 9, 2026; 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.
- 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.