NPIMap

Organization Active NPI

Pronerve Read Center

  • Medical Specialty Clinic/Center
  • Phoeni, AZ
National Provider Identifier
1386910057
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PRONERVE READ CENTER
Practice address
3030 North Central Ave
Phoeni, AZ 85012
Phone
(720) 407-2700
Fax
(303) 339-1498
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Greg Paschke, CFO
Title
Cfo
Phone
(720) 536-2380

Specialties & licenses 1

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

Addresses

Primary practice location

3030 North Central Ave
Phoeni, AZ 85012

Mailing address

350 Interlocken Blvd
Suite 360
Broomfield, CO 80021-8006
Phone (720) 407-2700

National Provider Directory

National Provider Directory

Locations

3030 N Central Ave
Phoenix, AZ 85012
Phone (602) 216-0110

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1386910057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 INTERLOCKEN BLVD",
            "address_2": "SUITE 360",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218006",
            "telephone_number": "720-407-2700",
            "fax_number": "303-339-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH CENTRAL AVE",
            "city": "PHOENI",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "720-407-2700",
            "fax_number": "303-339-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONERVE READ CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PASCHKE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-536-2380",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.