Organization Active NPI

MKRP Industries Inc

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1437206018
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MKRP INDUSTRIES INC
Doing business as
Canyon Family Physicians
Practice address
2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234-2471
Phone
(480) 507-2199
Fax
(480) 507-0677
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dennis R Pickering
Title
Owner
Phone
(480) 507-2199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234-2471

Mailing address

2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234-2471
Phone (480) 507-2199

Other names 1

  • Canyon Family Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234
Phone (480) 507-2213

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1437206018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-507-2199",
            "fax_number": "480-507-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "address_2": "STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-507-2199",
            "fax_number": "480-507-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKRP INDUSTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-507-2199"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.