Organization Active NPI

Dale L Payne, MDPC

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1265757637
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28085 Issued in AZ
Legal business name
DALE L PAYNE, MDPC
Practice address
1500 S Dobson Rd
Mesa, AZ 85202-4713
Phone
(480) 505-3637
NPI assigned
Mar 29, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Dale Payne, MD
Title
Physician
Phone
(480) 649-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 28085 AZ Primary

Addresses

Primary practice location

1500 S Dobson Rd
Mesa, AZ 85202-4713

Mailing address

108 W University Dr
Mesa, AZ 85201-5818
Phone (480) 649-3774

Other identifiers 1

IdentifierTypeStateIssuer
492934OtherAZAHCCCS

National Provider Directory

National Provider Directory

Locations

108 W University Dr
Mesa, AZ 85201
Phone (480) 649-3774

1500 S Dobson Rd
Ste 313
Mesa, AZ 85202
Phone (480) 561-6000

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1265757637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015818",
            "telephone_number": "480-649-3774",
            "fax_number": "480-649-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-505-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE L PAYNE, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-649-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "28085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "492934",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.