NPIMap

Organization Active NPI

Marlin L. Dimond, M.D.,P.C.

  • Specialist
  • Glendale, AZ
National Provider Identifier
1548507262
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14226 Issued in AZ
Legal business name
MARLIN L. DIMOND, M.D.,P.C.
Practice address
5620 W Thunderbird Rd
Suite E-2
Glendale, AZ 85306-4636
Phone
(602) 938-3742
Fax
(602) 938-0639
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Marlin L Dimond, M.D.NPI 1194795229
Title
President
Phone
(602) 938-3742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14226 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd
Suite E-2
Glendale, AZ 85306-4636

Mailing address

5620 W Thunderbird Rd
Suite E-2
Glendale, AZ 85306-4636
Phone (602) 938-3742

National Provider Directory

National Provider Directory

Locations

5620 W Thunderbird Rd
Ste E2
Glendale, AZ 85306
Phone (602) 938-3742

Practitioners & affiliated clinicians

Practitioners 1

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1548507262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE E-2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-938-3742",
            "fax_number": "602-938-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE E-2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-938-3742",
            "fax_number": "602-938-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIN L. DIMOND, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-938-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.