Organization Active NPI

Ronald C Burton M.D.,P.C.

  • Medical Specialty Clinic/Center
  • Mesa, AZ
National Provider Identifier
1376722538
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
9421 Issued in AZ
Legal business name
RONALD C BURTON M.D.,P.C.
Practice address
1432 S Dobson Rd
Suite 509
Mesa, AZ 85202-4768
Phone
(480) 834-5111
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Monica S Standage
Title
Office Manager
Phone
(480) 834-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 9421 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd
Suite 509
Mesa, AZ 85202-4768

Mailing address

1432 S Dobson Rd
Suite 509
Mesa, AZ 85202-4768
Phone (480) 834-5111

Other identifiers 2

IdentifierTypeStateIssuer
0022665604MedicaidAZ
1205831203OtherAZNPI

National Provider Directory

National Provider Directory

Locations

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

14913 Collection Center Dr
Chicago, IL 60693

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1376722538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 509",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-834-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 509",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-834-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C BURTON M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "STANDAGE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-834-5111"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "9421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022665604",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205831203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2007; 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.