NPIMap

Organization Active NPI

CVD LLC

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1306895453
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CVD LLC
Doing business as
CENTER FOR VENOUS DISEASE
Practice address
6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172
Phone
(623) 435-8346
Fax
(623) 435-9346
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
David Michael Smith, D.O.NPI 1568462943
Title
Medical Director
Phone
(623) 435-8346

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
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172

Mailing address

6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172
Phone (623) 435-8346

Other names 1

  • CENTER FOR VENOUS DISEASE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060621000049 AZ Part B Supplier - Clinic/Group Practice 2365454055 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

6320 W Union Hills Dr
Ste A140
Glendale, AZ 85308
Phone (623) 435-8346

Practitioners & affiliated clinicians

Practitioners 4

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1306895453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "623-435-8346",
            "fax_number": "623-435-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "623-435-8346",
            "fax_number": "623-435-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-435-8346",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR VENOUS DISEASE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.