Organization Active NPI

Arizona Facial Plastics, PC

  • Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1487101325
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ARIZONA FACIAL PLASTICS, PC
Practice address
3102 E Indian School Rd Ste 140
Phoenix, AZ 85016-6872
Phone
(480) 296-0488
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Mindy Brown
Title
Director of Operations and Finance
Phone
(602) 319-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3102 E Indian School Rd Ste 140
Phoenix, AZ 85016-6872

Mailing address

3102 E Indian School Rd Ste 140
Phoenix, AZ 85016-6872
Phone (480) 296-0488

National Provider Directory

National Provider Directory

Locations

4602 N 16th St
Phoenix, AZ 85016

4602 N 16th St
Fl 3
Phoenix, AZ 85016
Phone (480) 296-0488

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1487101325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 E INDIAN SCHOOL RD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166872",
            "telephone_number": "480-296-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 E INDIAN SCHOOL RD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166872",
            "telephone_number": "480-296-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FACIAL PLASTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS AND FINANCE",
        "authorized_official_telephone_number": "602-319-1361"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "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 Sep 23, 2024; 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.