Organization Active NPI

Alpine Family Practice

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1316117138
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25970 Issued in AZ
Legal business name
ALPINE FAMILY PRACTICE
Practice address
14800 W Mountain View Blvd
Suite 240
Surprise, AZ 85374-4795
Phone
(623) 544-4667
Fax
(623) 544-4668
NPI assigned
Mar 7, 2008
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Rob King
Title
Office Manager
Phone
(623) 544-4667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25970 AZ Primary

Addresses

Primary practice location

14800 W Mountain View Blvd
Suite 240
Surprise, AZ 85374-4795

Mailing address

PO Box 8930
Surprise, AZ 85374-0132
Phone (623) 544-4667

National Provider Directory

National Provider Directory

Locations

14800 W Mountain View Blvd
Ste 240
Surprise, AZ 85374
Phone (623) 544-4667

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1316117138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8930",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740132",
            "telephone_number": "623-544-4667",
            "fax_number": "623-544-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD",
            "address_2": "SUITE 240",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744795",
            "telephone_number": "623-544-4667",
            "fax_number": "623-544-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-544-4667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2008; 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.