Avesis Third Party Administrators, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

AVESIS THIRD PARTY ADMINISTRATORS, LLC

Practice address

1275 W Washington St Ste 102
Tempe, AZ 85288-1859

Phone

(800) 643-1132

NPI assigned

Jul 21, 2008

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AVESIS, LLCAs reported in NPPES

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

Authorized official

Name

Jennifer L Moore

Title

Regulatory License Manager

Phone

(207) 356-4244

Specialties & licenses 1

Addresses

Part of

Avesis LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Avesis, LLC

  • Exclusive Provider Organization
  • Tempe, AZ
  • NPI 1871862599
  NPPES parent name

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1336304229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W WASHINGTON ST STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881859",
            "telephone_number": "800-502-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W WASHINGTON ST STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881859",
            "telephone_number": "800-643-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESIS THIRD PARTY ADMINISTRATORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVESIS, LLC",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGULATORY LICENSE MANAGER",
        "authorized_official_telephone_number": "207-356-4244"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.