Organization Active NPI

Arizona Breathe Right LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1467006635
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARIZONA BREATHE RIGHT LLC
Practice address
1350 S Ellsworth Rd Apt 1122
Mesa, AZ 85209-2809
Phone
(480) 326-1819
Fax
(480) 522-1864
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Mr. Stephen Lynn Peterson II, RRTNPI 1821562885
Title
Owner/Provider/Manager
Phone
(480) 326-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1350 S Ellsworth Rd Apt 1122
Mesa, AZ 85209-2809

Mailing address

1350 S Ellsworth Rd Apt 1122
Mesa, AZ 85209-2809
Phone (480) 326-1819

Other identifiers 1

IdentifierTypeStateIssuer
480036MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1467006635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ELLSWORTH RD APT 1122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092809",
            "telephone_number": "480-326-1819",
            "fax_number": "480-522-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ELLSWORTH RD APT 1122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092809",
            "telephone_number": "480-326-1819",
            "fax_number": "480-522-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BREATHE RIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER/MANAGER",
        "authorized_official_telephone_number": "480-326-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.