Tatum Technical LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TATUM TECHNICAL LLC

Practice address

4045 E Bell Rd Ste 147
Phoenix, AZ 85032-2239

Phone

(602) 795-0207

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Thomas Moshiri

Title

Manager

Phone

(424) 322-0980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1417598459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N. TATUM BLVD STE 102-302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322239",
            "telephone_number": "602-795-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM TECHNICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "424-322-0980"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tatum Smiles, LLP
• Cherlyn Tatum
• Doris Diane Tatum
• Lashelle Tatum
• Benjamin Tatur, MSC
• Joshua Tauber, D.O.

• Neurology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.