NPIMap

Organization Active NPI

Primary Care Practice of Arizona, PLLC

Doing business as Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1265904247
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRIMARY CARE PRACTICE OF ARIZONA, PLLC
Doing business as
Gateway Urgent Care
Practice address
920 E Williams Field Rd Ste 101
Gilbert, AZ 85295-4880
Phone
(480) 650-8133
NPI assigned
Jan 1, 2019
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Dr. Michael P Dunn, MDNPI 1114965605
Title
Manager
Phone
(480) 499-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

920 E Williams Field Rd Ste 101
Gilbert, AZ 85295-4880

Mailing address

21388 E Orion Way
Queen Creek, AZ 85142-6814
Phone (480) 650-8133

Other names 1

  • Gateway Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304000129 AZ Part B Supplier - Clinic/Group Practice 4183963515 Receives reassigned benefits from 35 practitioners
4 other NPIs on this enrollment
Practice locations: Gilbert, AZ; Queen Creek, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2162160Gateway Urgent Care - Gilbert920 E Williams Field Road, Suite 101, Gilbert, AZ 85295Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1265904247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21388 E ORION WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426814",
            "telephone_number": "480-650-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E WILLIAMS FIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954880",
            "telephone_number": "480-650-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PRACTICE OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-01",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-499-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.