NPIMap

Organization Active NPI

Arizona Endocrinology Center, PLC

  • Metabolic Nutrition Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1508036377
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
0931-5024 Issued in AZ
Legal business name
ARIZONA ENDOCRINOLOGY CENTER, PLC
Practice address
15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone
(602) 439-9000
Fax
(602) 978-5233
NPI assigned
Mar 7, 2008
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Chet Singh Monder, M.D.NPI 1427015346
Title
President
Phone
(602) 439-9000

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
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 0931-5024 AZ Primary

Addresses

Primary practice location

15640 N 28TH Dr
Phoenix, AZ 85053-4059

Mailing address

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000165 AZ Part B Supplier - Clinic/Group Practice 0749365781 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Phoenix, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1508036377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-978-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ENDOCRINOLOGY CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "MONDER",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-439-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "AZ",
            "license": "0931-5024",
            "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 Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.