Organization Active NPI

Doctor After Dark, PLLC

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1427213404
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24255 Issued in AZ
Legal business name
DOCTOR AFTER DARK, PLLC
Practice address
1311 E Thomas Rd
Phoenix, AZ 85014-5707
Phone
(602) 253-3565
Fax
(602) 312-1316
NPI assigned
Jul 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Ramon Edward Carrasco, J.D.
Title
Adnistrator
Phone
(480) 206-3602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 24255 AZ Primary

Addresses

Primary practice location

1311 E Thomas Rd
Phoenix, AZ 85014-5707

Mailing address

1311 E Thomas Rd
Phoenix, AZ 85014-5707
Phone (602) 253-3565

National Provider Directory

National Provider Directory

Locations

1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1427213404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145707",
            "telephone_number": "602-253-3565",
            "fax_number": "602-312-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145707",
            "telephone_number": "602-253-3565",
            "fax_number": "602-312-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR AFTER DARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADNISTRATOR",
        "authorized_official_telephone_number": "480-206-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "24255",
            "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 Jul 18, 2008; 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.