Active NPI
Avram C Greenspan, MD
- Pediatrics Physician
- Scottsdale, AZ
National Provider Identifier
1548370968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20489
- Practice address
- 37202 N 102ND St
Scottsdale, AZ 85262-3124 - Phone
- (650) 704-5480
- Fax
- (480) 718-8324
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20489 | AZ | Primary |
Addresses
Primary practice location
37202 N 102ND St
Scottsdale, AZ 85262-3124
Mailing address
37202 N 102ND St
Scottsdale, AZ 85262-3124
Phone (650) 704-5480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20489 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1548370968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37202 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852623124",
"telephone_number": "650-704-5480",
"fax_number": "480-718-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37202 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852623124",
"telephone_number": "650-704-5480",
"fax_number": "480-718-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSPAN",
"first_name": "AVRAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AZ",
"license": "20489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.