Organization Active NPI

WP Medical LLC

Doing business as Renew Stem Cell and Laser

  • Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1487374567
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WP MEDICAL LLC
Doing business as
Renew Stem Cell and Laser
Practice address
9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036
Phone
(480) 869-4666
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Kerry Phelps
Title
President
Phone
(480) 313-4154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036

Mailing address

9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036
Phone (480) 869-4666

Other names 1

  • Renew Stem Cell and Laser Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.renewstemcellandlaser.com
CONNECT URL www.renewstemcellandlaser.com
CONNECT URL www.renewstemcellandlaser.com

National Provider Directory

National Provider Directory

Locations

9700 N 91st St
Ste B112
Scottsdale, AZ 85258
Phone (480) 869-4666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1487374567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE B112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585036",
            "telephone_number": "480-869-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE B112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585036",
            "telephone_number": "480-869-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-313-4154"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.renewstemcellandlaser.com",
            "affiliation": "N",
            "address_1": "9700 N 91st St Ste B112",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852585036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.renewstemcellandlaser.com",
            "affiliation": "N",
            "address_1": "9700 N 91st St Ste B112",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852585036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.renewstemcellandlaser.com",
            "affiliation": "N",
            "address_1": "9700 N 91st St Ste B112",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852585036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renew Stem Cell and Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.