Vital4Men, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VITAL4MEN, PLLC

Practice address

655 S Dobson Rd
B216
Chandler, AZ 85224-5667

Phone

(480) 223-1312

Fax

(480) 773-7902

NPI assigned

May 4, 2016

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Dishon

Title

Partner/Member

Phone

(623) 218-1515

Specialties & licenses 2

Addresses

Tax ID family

Vital4Men LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital4Men, PLLC

  • General Practice Physician
  • Mesa, AZ
  • NPI 1619323045
  NPD tax ID

Locations

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1396190724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "STE 115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-218-1515",
            "fax_number": "623-566-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD",
            "address_2": "B216",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245667",
            "telephone_number": "480-223-1312",
            "fax_number": "480-773-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL4MEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "DISHON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "623-218-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtual Scientific Inc
• Vision Edge Eye Center PLC (Vision Edge Eye Center)
• Visionworks Inc (Visionworks)
• Visionworks Inc
• Vital4Men Chandler PLLC
• Patrick Viviano, M.D.
• Vivir Bien Adult Day Care Center LLC
• Jovanna Catherine Vizcarra
• Nicholas Steve Vlahos, MD
• Hai Ngoc Vo, RPH

• General Practice Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.