NPIMap

Organization Active NPI

Medshape Weight Loss Clinic LLC

  • Clinic/Center
  • Mesa, AZ
National Provider Identifier
1285875039
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDSHAPE WEIGHT LOSS CLINIC LLC
Practice address
1845 S Dobson Rd
202
Mesa, AZ 85202-5661
Phone
(480) 413-9000
Fax
(480) 413-2060
NPI assigned
Mar 7, 2009
Last updated
Mar 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Authorized official

Name
Ms. Stepanie Smith
Title
Director of Operations
Phone
(480) 413-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1845 S Dobson Rd
202
Mesa, AZ 85202-5661

Mailing address

1845 S Dobson Rd
202
Mesa, AZ 85202-5661
Phone (480) 413-9000

National Provider Directory

National Provider Directory
Tax ID family
Medshape Weight Loss Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1845 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 413-9000

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236384000000",
    "number": "1285875039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD",
            "address_2": "202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025661",
            "telephone_number": "480-413-9000",
            "fax_number": "480-413-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD",
            "address_2": "202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025661",
            "telephone_number": "480-413-9000",
            "fax_number": "480-413-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSHAPE WEIGHT LOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPANIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-413-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 2009; 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.