Organization Active NPI

Desert Orthopedic Specialists PC

  • Orthopaedic Surgery Physician
  • Chandler, AZ
National Provider Identifier
1245430735
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12071 Issued in AZ
Legal business name
DESERT ORTHOPEDIC SPECIALISTS PC
Practice address
2905 W Warner Rd
Suite 23
Chandler, AZ 85224-1674
Phone
(480) 345-2031
Fax
(480) 345-7891
NPI assigned
Jul 23, 2007
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Jonathan R Fox, MDNPI 1093786709
Title
Medical Director
Phone
(480) 345-2031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 12071 AZ Primary

Addresses

Primary practice location

2905 W Warner Rd
Suite 23
Chandler, AZ 85224-1674

Mailing address

2905 W Warner Rd
Suite 23
Chandler, AZ 85224-1674
Phone (480) 345-2031

Other identifiers 1

IdentifierTypeStateIssuer
250978MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616001547 AZ Part B Supplier - Clinic/Group Practice 3072598242 Receives reassigned benefits from 6 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

3535 N Scottsdale Rd
Scottsdale, AZ 85251
Phone (480) 583-3958

8415 N Pima Rd
Scottsdale, AZ 85258
Phone (480) 434-6565

4450 S Rural Rd
Ste C100
Tempe, AZ 85282
Phone (480) 345-2031

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1245430735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "SUITE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-345-2031",
            "fax_number": "480-345-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "SUITE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-345-2031",
            "fax_number": "480-345-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ORTHOPEDIC SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-345-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "12071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.