Arizona Advanced Pain Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

ARIZONA ADVANCED PAIN CENTER

Practice address

4566 E Inverness Ave Ste 101
Mesa, AZ 85206-4633

Phone

(480) 672-2240

Fax

(480) 865-2737

NPI assigned

May 13, 2021

Organization subpart

No

Name

Jordan Tennant, DC

Title

Owner

Phone

(785) 231-9243

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2021.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1215501374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-672-2240",
            "fax_number": "480-865-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-672-2240",
            "fax_number": "480-865-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADVANCED PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "TENNANT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-231-9243",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ariola
• Arista Imaging, LLC
• Arizona Acne Specialists LLC
• Arizona Addiction Treatment Programs, Inc
• Arizona Advanced Imaging Center LLC
• Arizona Advanced Physical Therapy
• Arizona Advanced Surgical and Pain
• Arizona Advanced Surgical Assists LLC
• Arizona Alternative Support, LLC
• Arizona Arthritis and Rheumatology Associates

• All providers in Mesa, AZ
• Pain Clinic/Center in Arizona

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