Active NPI
David D Minor, DO
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1356441356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2321
- Practice address
- 7725 N 43Rd Ave
Ste 720
Phoenix, AZ 85051-5770 - Phone
- (623) 435-1923
- Fax
- (623) 435-1924
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2321 | AZ | Primary |
Addresses
Primary practice location
7725 N 43Rd Ave
Ste 720
Phoenix, AZ 85051-5770
Mailing address
8620 N 22ND Ave
#200
Phoenix, AZ 85021
Phone (602) 674-6501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271924 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Radiology, PLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1841243037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1356441356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 N 22ND AVE",
"address_2": "#200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85021",
"telephone_number": "602-674-6501",
"fax_number": "602-674-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7725 N 43RD AVE",
"address_2": "STE 720",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850515770",
"telephone_number": "623-435-1923",
"fax_number": "623-435-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "DAVID",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "2321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271924",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.