Desert Storm K9 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DESERT STORM K9 LLC

Practice address

44754 W Woody Rd
Maricopa, AZ 85139-9191

Phone

(480) 376-9546

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Hakeem Ali

Title

Owner

Phone

(480) 376-9546

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1356023964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44754 W WOODY RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399191",
            "telephone_number": "480-376-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44754 W WOODY RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399191",
            "telephone_number": "480-376-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT STORM K9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAKEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-376-9546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.