Arrowhead Pro Sleep, LLC

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

ARROWHEAD PRO SLEEP, LLC

Practice address

16222 N 59TH Ave Ste D170
Glendale, AZ 85306-1708

Phone

(602) 680-4564

Fax

(602) 926-2445

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Elijah D Davis

Title

Owner

Phone

(602) 680-4540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1346736071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23010 N 65TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104234",
            "telephone_number": "928-246-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE STE D170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061708",
            "telephone_number": "602-680-4564",
            "fax_number": "602-926-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD PRO SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-680-4540"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowhead Outpatient Treatment Center LLC
• Arrowhead Pediatrics
• Arrowhead Pharmacy
• Arrowhead Plaza Dental Group PLC
• Arrowhead Pro Sleep LLC
• Arrowhead Professional Group
• Arrowhead Prosthodontics PLLC
• Arrowhead Senior Living II, LLC
• Arrowhead Senior Living, LLC
• Arrowhead Sleep Center Inc.

• Sleep Medicine (Family Medicine) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Sleep Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.