Organization Active NPI

Pure Healthcare of Arizona LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1306600978
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE HEALTHCARE OF ARIZONA LLC
Practice address
1760 E Pecos Rd Ste 301
Gilbert, AZ 85295-3203
Phone
(480) 806-2100
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Joshua T TandyNPI 1285313924
Title
Owner
Phone
(801) 787-0731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1760 E Pecos Rd Ste 301
Gilbert, AZ 85295-3203

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 921-6276

Other practice location 1

13657 W McDowell Rd Ste 204
Goodyear, AZ 85395-2603
Phone (623) 267-8520

Other practice location 2

9125 W Thunderbird Rd Ste 105
Peoria, AZ 85381-4921
Phone (623) 267-4940

National Provider Directory

National Provider Directory
Tax ID family
Pure Healthcare of Arizona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1306600978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-921-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 301",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953203",
            "telephone_number": "480-806-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13657 W McDowell Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952603",
            "country_code": "US",
            "telephone_number": "623-267-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9125 W Thunderbird Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814921",
            "country_code": "US",
            "telephone_number": "623-267-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "TANDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-787-0731"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.