Organization Active NPI

Shirvan, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1518166453
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHIRVAN, INC.
Practice address
4620 N 16TH St
B-209
Phoenix, AZ 85016-5121
Phone
(602) 264-4014
Fax
(602) 265-1785
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Garik Ryan
Title
Ceo
Phone
(602) 264-4014

Specialties & licenses 1

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

Addresses

Primary practice location

4620 N 16TH St
B-209
Phoenix, AZ 85016-5121

Mailing address

4620 N 16TH St
B-209
Phoenix, AZ 85016-5121
Phone (602) 264-4014

National Provider Directory

National Provider Directory

Locations

4620 N 16th St
Ste B209
Phoenix, AZ 85016
Phone (602) 264-4014

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1518166453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N 16TH ST",
            "address_2": "B-209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165121",
            "telephone_number": "602-264-4014",
            "fax_number": "602-265-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 16TH ST",
            "address_2": "B-209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165121",
            "telephone_number": "602-264-4014",
            "fax_number": "602-265-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRVAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "GARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-264-4014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Mar 24, 2008; 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.