Organization Active NPI

ASC Tempe LLC

Doing business as ICON Surgery Center of Tempe

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
National Provider Identifier
1225433642
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASC TEMPE LLC
Doing business as
ICON Surgery Center of Tempe
Practice address
940 E University Dr
Ste. 102
Tempe, AZ 85281-4278
Phone
(623) 500-6072
NPI assigned
Oct 28, 2014
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Richard Anderson
Title
Ceo
Phone
(720) 341-3399

Specialties & licenses 1

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

Addresses

Primary practice location

940 E University Dr
Ste. 102
Tempe, AZ 85281-4278

Mailing address

201 Fillmore St
Ste. 201
Denver, CO 80206-5022

Other names 1

  • ICON Surgery Center of Tempe Doing business as

National Provider Directory

National Provider Directory

Locations

940 E University Dr
Ste 102
Tempe, AZ 85288
Phone (623) 500-6072

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1225433642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FILLMORE ST",
            "address_2": "STE. 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E UNIVERSITY DR",
            "address_2": "STE. 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814278",
            "telephone_number": "623-500-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC TEMPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-341-3399"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICON Surgery Center of Tempe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.