Desert Princess Medical GRP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36773 Issued in AZ

Legal business name

DESERT PRINCESS MEDICAL GRP

Practice address

9377 E Bell Rd Ste 131
Scottsdale, AZ 85260-1503

Phone

(480) 559-4776

Fax

(866) 526-7086

NPI assigned

May 3, 2016

Organization subpart

Yes

Parent organization

DESERT PRINCESS MEDICAL GRPAs reported in NPPES

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

Authorized official

Name

Richard Haines Demir, MD

Title

Physician

Phone

(480) 559-4776

Specialties & licenses 2

Addresses

Part of

Desert Princess

Locations

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1326493768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 E PINNACLE PEAK RD",
            "address_2": "BOX 218",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553517",
            "telephone_number": "480-559-4776",
            "fax_number": "866-526-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 131",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "480-559-4776",
            "fax_number": "866-526-7086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 N McClintock Dr",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852263767",
            "country_code": "US",
            "telephone_number": "480-559-4776 x4",
            "fax_number": "866-526-7086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT PRINCESS MEDICAL GRP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT PRINCESS MEDICAL GRP",
        "enumeration_date": "2016-05-03",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "DEMIR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAINES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-559-4776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "36773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Palm Surgical Group
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• Desert Rain Skin
• Desert Recovery Centers LLC
• Desert Ridge Facility Group, LLC
• Desert Ridge Rehabilitaion and Health Group, LLC
• Desert Ridge Rehabilitation and Health Center

• Medical Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.