Active NPI
Conor Prindiville, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Phoenix, AZ
National Provider Identifier
1396339933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 3929 E Bell Rd
Phoenix, AZ 85032-2112 - Phone
- (602) 923-5000
- NPI assigned
- Feb 24, 2021
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
3929 E Bell Rd
Phoenix, AZ 85032-2112
Mailing address
4600 S Ulster St Ste 1225
Denver, CO 80237-2696
Phone (720) 287-3093
Other practice location 1
7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1396339933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 S ULSTER ST STE 1225",
"city": "DENVER",
"state": "CO",
"postal_code": "802372696",
"telephone_number": "720-287-3093",
"fax_number": "720-287-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 E BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322112",
"telephone_number": "602-923-5000"
}
],
"practiceLocations": [
{
"address_1": "7400 E Thompson Peak Pkwy",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852554109",
"country_code": "US",
"telephone_number": "480-324-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINDIVILLE",
"first_name": "CONOR",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.