Active NPI
Compass Medical Center Heber, PLLC
- General Practice Physician
- Overgaard, AZ
National Provider Identifier
1417570664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COMPASS MEDICAL CENTER HEBER, PLLC
- Practice address
- 2931 Highway 260
Overgaard, AZ 85933 - Phone
- (928) 536-5525
- Fax
- (928) 536-3735
- NPI assigned
- May 22, 2020
- Last updated
- Jun 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin James Woodside, DC
- Title
- Owner
- Phone
- (928) 536-5525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2931 Highway 260
Overgaard, AZ 85933
Mailing address
PO Box 2340
Overgaard, AZ 85933
Phone (928) 536-5525
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Snowflake, AZ
- NPI 1306005327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592438400000",
"number": "1417570664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2340",
"city": "OVERGAARD",
"state": "AZ",
"postal_code": "85933",
"telephone_number": "928-536-5525",
"fax_number": "928-536-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 HIGHWAY 260",
"city": "OVERGAARD",
"state": "AZ",
"postal_code": "85933",
"telephone_number": "928-536-5525",
"fax_number": "928-536-3735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS MEDICAL CENTER HEBER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-22",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A",
"authorized_official_last_name": "WOODSIDE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-536-5525",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overgaard, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.