NPIMap

Organization Active NPI

Kierland Medical, LLC

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1306243142
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIERLAND MEDICAL, LLC
Practice address
7047 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-8107
Phone
(480) 998-1685
Fax
(480) 998-1754
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Smith Smith
Title
Owner
Phone
(480) 998-1685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7047 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-8107

Mailing address

7047 E Greenway Pkwy
Suite 100
Scottsdale, AZ 85254-8107
Phone (480) 998-1685

Other names 1

  • Kierland Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

7047 E Greenway Pkwy
Ste 100
Scottsdale, AZ 85254
Phone (480) 998-1685

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1306243142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548107",
            "telephone_number": "480-998-1685",
            "fax_number": "480-998-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548107",
            "telephone_number": "480-998-1685",
            "fax_number": "480-998-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERLAND MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-998-1685"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kierland Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.