Arizona Tongue Tie Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ARIZONA TONGUE TIE CENTER

Doing business as

Arizona Breastfeeding Medicine & Wellness, PLLC

Practice address

2700 E Fry Blvd Ste B1-E
Sierra Vista, AZ 85635-2826

Phone

(480) 300-4559

Fax

(480) 447-8890

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brian Riek

Title

Owner

Phone

(480) 300-4559

Specialties & licenses 1

Addresses

Other names 1

• Arizona Breastfeeding Medicine & Wellness, PLLC Doing business as

Locations

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1285228668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 E GREENWAY RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601787",
            "telephone_number": "520-508-5332",
            "fax_number": "480-447-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD STE B1-E",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826",
            "telephone_number": "480-300-4559",
            "fax_number": "480-447-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA TONGUE TIE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "RIEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-300-4559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Breastfeeding Medicine & Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.