Active NPI
Rejuvenos
- Pain Clinic/Center
- Tucson, AZ
National Provider Identifier
1336561992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- REJUVENOS
- Practice address
- 2828 N Stone Ave
Tucson, AZ 85705-4503 - Phone
- (520) 481-3121
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Wolter
- Title
- Owner
- Phone
- (520) 481-3121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
2828 N Stone Ave
Tucson, AZ 85705-4503
Mailing address
7843 E Sabino Hollow CT
Tucson, AZ 85750-7223
Phone (520) 481-3121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1336561992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7843 E SABINO HOLLOW CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857507223",
"telephone_number": "520-481-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N STONE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857054503",
"telephone_number": "520-481-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENOS",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "WOLTER",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-481-3121"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.