Organization Active NPI

Steven B. Chintis, D.O., PC

  • Internal Medicine Physician
  • Show Low, AZ
National Provider Identifier
1316959265
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2583 Issued in AZ
Legal business name
STEVEN B. CHINTIS, D.O., PC
Practice address
5171 Cub Lake Rd
Suite C380
Show Low, AZ 85901-7888
Phone
(928) 537-1077
Fax
(928) 532-0757
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Steven B Chintis, D.O.
Title
Owner
Phone
(928) 537-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2583 AZ Primary

Addresses

Primary practice location

5171 Cub Lake Rd
Suite C380
Show Low, AZ 85901-7888

Mailing address

5171 Cub Lake Rd
Suite C380
Show Low, AZ 85901-7888
Phone (928) 527-1077

Other identifiers 1

IdentifierTypeStateIssuer
106668MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1316959265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C380",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017888",
            "telephone_number": "928-527-1077",
            "fax_number": "928-537-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C380",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017888",
            "telephone_number": "928-537-1077",
            "fax_number": "928-532-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B. CHINTIS, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CHINTIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-537-1077",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106668",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.