Organization Active NPI

Mesobeauty

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1225226020
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23328 Issued in AZ
Legal business name
MESOBEAUTY
Practice address
21827 N Scottsdale Rd
Scottsdale, AZ 85255-7443
Phone
(480) 821-6376
NPI assigned
Oct 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Kirsten A Sorensen
Title
Compliance Consultant
Phone
(602) 431-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23328 AZ Primary

Addresses

Primary practice location

21827 N Scottsdale Rd
Scottsdale, AZ 85255-7443

Mailing address

4919 E Hazel Dr
Suite 1
Phoenix, AZ 85044-7776
Phone (602) 454-2144

National Provider Directory

National Provider Directory

Locations

21827 N Scottsdale Rd
Scottsdale, AZ 85255
Phone (480) 821-6376

NPI Registry JSON

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1225226020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 E HAZEL DR",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447776",
            "telephone_number": "602-454-2144",
            "fax_number": "602-431-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21827 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557443",
            "telephone_number": "480-821-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESOBEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COMPLIANCE CONSULTANT",
        "authorized_official_telephone_number": "602-431-1152"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "23328",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 17, 2008; 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.