Organization Active NPI

Regen Care LLC

Doing business as Regen Care

  • Specialist
  • Mesa, AZ
National Provider Identifier
1366121709
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jun 30, 2024

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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"
        }
    ]
}

Other providers in Mesa, AZ

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.

Verify at the official NPI Registry.