Organization Active NPI

Dash of Fab Med Spa LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1497589220
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DASH OF FAB MED SPA LLC
Practice address
2929 E Camelback Rd Ste 114
Phoenix, AZ 85016-4425
Phone
(602) 361-1209
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Claudia Jazmin Davila Perez, NPNPI 1023431533
Title
Nurse Practitioner
Phone
(602) 361-1209

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2929 E Camelback Rd Ste 114
Phoenix, AZ 85016-4425

Mailing address

8033 W Mohave St
Phoenix, AZ 85043-5529
Phone (602) 920-1335

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1497589220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 W MOHAVE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850435529",
            "telephone_number": "602-920-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425",
            "telephone_number": "602-361-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH OF FAB MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "DAVILA PEREZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "JAZMIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-361-1209",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "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 Aug 26, 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.