Desert Princess

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36773 Issued in AZ

Legal business name

DESERT PRINCESS

Practice address

5133 N Central Ave
100
Phoenix, AZ 85012-1438

Phone

(480) 559-4776

Fax

(866) 526-7086

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Richard Demir, MD

Title

Owner

Phone

(480) 544-6900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1396193843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 E PINNACLE PEAK RD",
            "address_2": "BOX 218",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553517",
            "telephone_number": "480-559-4776",
            "fax_number": "866-526-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "480-559-4776",
            "fax_number": "866-526-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PRINCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "DEMIR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-544-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203537",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.