Active NPI
Michael Darin Senne
- Contractor
- Tucson, AZ
National Provider Identifier
1275840829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2634936
- Practice address
- 4299 W. Calva-Draw PL
Tucson, AZ 85745 - Phone
- (520) 203-8926
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2634936 | AZ | Primary |
Addresses
Primary practice location
4299 W. Calva-Draw PL
Tucson, AZ 85745
Mailing address
Intermountain Centers for Human Development Inc
994 S Harrison Rd
Tucson, AZ 85748
Phone (520) 721-1887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2634936 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1275840829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC",
"address_2": "994 S HARRISON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85748",
"telephone_number": "520-721-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4299 W. CALVA-DRAW PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85745",
"telephone_number": "520-203-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNE",
"first_name": "MICHAEL",
"middle_name": "DARIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "2634936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.