Organization Active NPI

Desert Mountain Surgery Center, P.L.C.

Doing business as Sonoran Desert Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
National Provider Identifier
1386883692
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC4418 Issued in AZ
Legal business name
DESERT MOUNTAIN SURGERY CENTER, P.L.C.
Doing business as
Sonoran Desert Surgery Center
Practice address
895 S Dobson Rd
Suite 3
Chandler, AZ 85224-5718
Phone
(480) 899-0110
NPI assigned
Feb 10, 2009
Organization subpart
Yes
Parent organization
DESERT MOUNTAIN PLASTIC SURGEONS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
David M Creech, M.D.
Title
Owner
Phone
(480) 899-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC4418 AZ Primary

Addresses

Primary practice location

895 S Dobson Rd
Suite 3
Chandler, AZ 85224-5718

Mailing address

895 S Dobson Rd
Suite 1
Chandler, AZ 85224-5718
Phone (480) 899-3737

Other names 1

  • Sonoran Desert Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
DSRT MTN Plastic Surgeo

Locations

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1386883692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 S DOBSON RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245718",
            "telephone_number": "480-899-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S DOBSON RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245718",
            "telephone_number": "480-899-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN SURGERY CENTER, P.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT MOUNTAIN PLASTIC SURGEONS PC",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-899-3737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC4418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoran Desert Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.