Desert Mountain Medical Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

DESERT MOUNTAIN MEDICAL CENTER LLC

Practice address

15215 S 48TH St Ste 156
Phoenix, AZ 85044-9139

Phone

(480) 704-8818

NPI assigned

May 17, 2019

Last updated

Apr 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cori Kovac

Title

Managaer

Phone

(480) 462-7070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1225694961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139",
            "telephone_number": "480-704-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "KOVAC",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "MANAGAER",
        "authorized_official_telephone_number": "480-462-7070"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Mission Inc (Community Health Services)
• Desert Mobile Foot Care LLC
• Desert Mountain Consultants in Anesthesia, Inc.
• Desert Mountain Health
• Desert Mountain Health
• Desert Neonatology Associates
• Desert Neonatology Associates
• Desert Oak Counseling, LLC
• Desert Oasis Hospice LLC
• Desert Orthopaedics & Rehabilitation, PC

• Rehabilitation Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.