Active NPI
Paul Grundland, DO
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1386924876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3094
- Practice address
- 10040 E Happy Valley Rd
Unit 324
Scottsdale, AZ 85255-2395 - Phone
- (480) 585-7206
- NPI assigned
- Aug 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3094 | AZ | Primary |
Addresses
Primary practice location
10040 E Happy Valley Rd
Unit 324
Scottsdale, AZ 85255-2395
Mailing address
10040 E Happy Valley Rd Unit 324
Scottsdale, AZ 85255-2377
Phone (480) 585-7206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3094 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314489600000",
"number": "1386924876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10040 E HAPPY VALLEY RD UNIT 324",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552377",
"telephone_number": "480-585-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 E HAPPY VALLEY RD",
"address_2": "UNIT 324",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552395",
"telephone_number": "480-585-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDLAND",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-28",
"last_updated": "2011-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3094",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.