Organization Active NPI

Healthwaves Corporation

Doing business as Healthwaves

  • Specialist
  • Tempe, AZ
National Provider Identifier
1245450980
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ZMD9047 Issued in AZ
Legal business name
HEALTHWAVES CORPORATION
Doing business as
Healthwaves
Practice address
1615 W University Dr
Ste. 137
Tempe, AZ 85281-3257
Phone
(480) 968-1886
Fax
(480) 968-8875
NPI assigned
Apr 26, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Ted B Hedberg
Title
Vice President
Phone
(480) 968-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ZMD9047 AZ Primary

Addresses

Primary practice location

1615 W University Dr
Ste. 137
Tempe, AZ 85281-3257

Mailing address

1615 W University Dr
Ste. 137
Tempe, AZ 85281-3257
Phone (480) 968-1886

Other identifiers 1

IdentifierTypeStateIssuer
ZMD9047OtherAZPROVIDER ID

Other names 1

  • Healthwaves Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140610000556 AZ Part B Supplier - Clinic/Group Practice 7214151448 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory

Locations

1615 W University Dr
Ste 137
Tempe, AZ 85281
Phone (480) 968-1886

Practitioners & affiliated clinicians

Practitioners 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1245450980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W UNIVERSITY DR",
            "address_2": "STE. 137",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813257",
            "telephone_number": "480-968-1886",
            "fax_number": "480-968-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W UNIVERSITY DR",
            "address_2": "STE. 137",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813257",
            "telephone_number": "480-968-1886",
            "fax_number": "480-968-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAVES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HEDBERG",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-968-1886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "ZMD9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "ZMD9047",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwaves",
            "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 11, 2007; 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.