Active NPI
Regen Care LLC
Doing business as Regen Care
- Specialist
- Mesa, AZ
National Provider Identifier
1366121709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REGEN CARE LLC
- Doing business as
- Regen Care
- Practice address
- 1809 E University Dr
Mesa, AZ 85203-8235 - Phone
- (929) 965-7776
- NPI assigned
- Jul 13, 2023
- 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
- David Weech
- Title
- Owner/Provider
- Phone
- (928) 965-7776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1809 E University Dr
Mesa, AZ 85203-8235
Mailing address
4008 E Hackamore Cir
Mesa, AZ 85205-4026
Other practice location 1
1324 N Farrell Ct Ste 109
Gilbert, AZ 85233-1945
Phone (928) 965-7776
Other names 1
- Regen Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719705600000",
"number": "1366121709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 E HACKAMORE CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852054026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 E UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852038235",
"telephone_number": "929-965-7776"
}
],
"practiceLocations": [
{
"address_1": "1324 N Farrell Ct Ste 109",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852331945",
"country_code": "US",
"telephone_number": "928-965-7776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGEN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-13",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A",
"authorized_official_last_name": "WEECH",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "928-965-7776"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regen Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.