NPIMap

Organization Active NPI

Tri-City Express Care, PLLC

Doing business as FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Chandler, AZ
National Provider Identifier
1255677415
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC5618 Issued in AZ
Legal business name
TRI-CITY EXPRESS CARE, PLLC
Doing business as
FastMed Urgent Care
Practice address
3705 S. Arizona Avenue
Suite 1
Chandler, AZ 85248-4500
Phone
(480) 545-2787
Fax
(480) 545-1434
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Michael Dunn, MD
Title
Cmo
Phone
(480) 545-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC5618 AZ Primary

Addresses

Primary practice location

3705 S. Arizona Avenue
Suite 1
Chandler, AZ 85248-4500

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787

Other names 1

  • FastMed Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fastmed Urgent Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1255677415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 S. ARIZONA AVENUE",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484500",
            "telephone_number": "480-545-2787",
            "fax_number": "480-545-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EXPRESS CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "480-545-2787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 30, 2013; 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.