NPIMap

Organization Active NPI

Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
National Provider Identifier
1265401996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7490 Issued in AZ
Legal business name
PIONEER PET, LLC
Practice address
1930 E Southern Ave
Tempe, AZ 85282
Phone
(480) 775-6500
Fax
(480) 775-6600
NPI assigned
Mar 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jay Bansal
Title
Managing Owner
Phone
(480) 775-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7490 AZ Primary

Addresses

Primary practice location

1930 E Southern Ave
Tempe, AZ 85282

Mailing address

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 775-6500

National Provider Directory

National Provider Directory

Locations

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

Practitioners & affiliated clinicians

Practitioners 197

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.

View all 197

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265401996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-775-6500",
            "fax_number": "480-775-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-775-6500",
            "fax_number": "480-775-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "480-775-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "7490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.