Organization Active NPI

Desert Dialysis Services, Inc.

  • Nephrology Physician
  • Sun City, AZ
National Provider Identifier
1265439996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19729 Issued in AZ
Legal business name
DESERT DIALYSIS SERVICES, INC.
Practice address
13000 N 103Rd Ave
Ste. 66
Sun City, AZ 85351-3024
Phone
(623) 583-3131
Fax
(623) 583-5414
NPI assigned
Jul 7, 2005
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
Dr. Mario Pairse, M.D.
Title
Owner/Medical Director
Phone
(623) 583-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19729 AZ Primary

Addresses

Primary practice location

13000 N 103Rd Ave
Ste. 66
Sun City, AZ 85351-3024

Mailing address

13000 N 103Rd Ave
Ste. 66
Sun City, AZ 85351-3024
Phone (623) 583-3131

Other identifiers 1

IdentifierTypeStateIssuer
394651MedicaidAZ

National Provider Directory

National Provider Directory

Locations

13000 N 103rd Ave
Ste 66
Sun City, AZ 85351
Phone (623) 583-3131

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265439996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "STE. 66",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-583-3131",
            "fax_number": "623-583-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "STE. 66",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-583-3131",
            "fax_number": "623-583-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DIALYSIS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAIRSE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-583-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "19729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394651",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, 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.