Organization Active NPI

Diabetes Relief Phoenix West, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Surprise, AZ
National Provider Identifier
1306484381
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES RELIEF PHOENIX WEST, PLLC
Doing business as
Diabetes Relief Phoenix West, PLLC
Practice address
14827 W Bell Rd Ste 101
Surprise, AZ 85374-7605
Phone
(623) 215-2280
NPI assigned
Dec 20, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Daniel T Smith, MDNPI 1134101843
Title
Owner
Phone
(623) 215-2280

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

14827 W Bell Rd Ste 101
Surprise, AZ 85374-7605

Mailing address

14827 W Bell Rd Ste 101
Surprise, AZ 85374-7605
Phone (623) 215-2280

Other names 1

  • Diabetes Relief Phoenix West, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

14827 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 215-2280

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": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1306484381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14827 W BELL RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747605",
            "telephone_number": "623-215-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14827 W BELL RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747605",
            "telephone_number": "623-215-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES RELIEF PHOENIX WEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-215-2280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Relief Phoenix West, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.