Organization Active NPI

Freedom Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Scottsdale, AZ
National Provider Identifier
1316743537
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
FREEDOM SPINE LLC
Practice address
17500 N Perimeter Dr
Scottsdale, AZ 85255-7800
Phone
(480) 535-6300
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Diana Sheehan
Title
Authorized Official
Phone
(480) 535-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

17500 N Perimeter Dr
Scottsdale, AZ 85255-7800

Mailing address

17500 N Perimeter Dr # 140
Scottsdale, AZ 85255-7800
Phone (480) 535-6300

National Provider Directory

National Provider Directory

Locations

17500 N Perimeter Dr
#140
Scottsdale, AZ 85255

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1316743537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-535-6300"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2025; 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.