Active NPI
Dale L Payne, MDPC
- Surgery Physician
- Mesa, AZ
National Provider Identifier
1265757637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 28085
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492934 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryLocations
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.