Organization Active NPI

Desert Mountain OB/GYN, P.C.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1366633539
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27875 Issued in AZ
Legal business name
DESERT MOUNTAIN OB/GYN, P.C.
Practice address
14220 N Northsight Blvd
Suite150
Scottsdale, AZ 85260-3949
Phone
(480) 585-0804
Fax
(480) 585-0828
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Mrs. Tami Dairiki, M.D.
Title
Owner/Physician
Phone
(480) 585-0804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27875 AZ Primary

Addresses

Primary practice location

14220 N Northsight Blvd
Suite150
Scottsdale, AZ 85260-3949

Mailing address

14220 N Northsight Blvd
Suite 150
Scottsdale, AZ 85260-3949
Phone (480) 585-0804

Other identifiers 1

IdentifierTypeStateIssuer
489147-001MedicaidAZ

National Provider Directory

National Provider Directory

Locations

14220 N Northsight Blvd
Ste 150
Scottsdale, AZ 85260
Phone (480) 585-0804

14220 N Northsight Blvd
Scottsdale, AZ 85260
Phone (480) 585-0804

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1366633539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 N NORTHSIGHT BLVD",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603949",
            "telephone_number": "480-585-0804",
            "fax_number": "480-585-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 N NORTHSIGHT BLVD",
            "address_2": "SUITE150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603949",
            "telephone_number": "480-585-0804",
            "fax_number": "480-585-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "DAIRIKI",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-585-0804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "27875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489147-001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.