Ark Family Health North Peoria PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARK FAMILY HEALTH NORTH PEORIA PLLC

Practice address

8514 W Deer Valley Rd Ste 100
Peoria, AZ 85382-5387

Phone

(623) 226-8825

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Kendrick O JohnsonNPI 1558700054

Title

Owner

Phone

(801) 234-0166

Specialties & licenses 1

Addresses

Other names 1

• Ark Family Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendrick O Johnson, D.O.

  • Family Medicine Physician
  • Williams, AZ
  • NPI 1558700054
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1396484762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 W DEER VALLEY RD STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825387",
            "telephone_number": "623-226-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 W DEER VALLEY RD STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825387",
            "telephone_number": "623-226-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK FAMILY HEALTH NORTH PEORIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-234-0166"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ark Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona OT Solutions LLC
• Arizona Retirement Centers, Inc.
• Arizona Select Home Health, Inc.
• Arizona Surgical Services, LLC
• Arizona Training & Evaluation Center, Inc. (Aztec)
• Beth Arlia, R.PH.
• Aleja Armenta
• Maria Carolina Armijo, M.A., CCC-SLP
• Michael Armijo
• Jessica Bea Armstead, CNA

• Family Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.