Regenesis Wellness Center of Scottsdale

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENESIS WELLNESS CENTER OF SCOTTSDALE

Practice address

9188 E San Salvador Dr Ste 201
Scottsdale, AZ 85258-5534

Phone

(480) 443-0004

Fax

(480) 391-7793

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Danette Mitchell

Title

Owner

Phone

(480) 443-0004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1215354543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585534",
            "telephone_number": "480-443-0004",
            "fax_number": "480-391-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS WELLNESS CENTER OF SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-443-0004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenerative Medical Products LLC
• Regenerative Medicine Express LLC
• Regenerative Orthopaedic Medicine LLC
• Regenerative Surgical Center, LLC
• Regenesis Biomedical, Inc.
• Regenesthetics
• Regent Healthcare at DC Ranch
• Regent Healthcare of Scottsdale
• Cheryl Regier
• Regional Physician Services of Illinois PC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.