Daisy Mountain Treatment Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DAISY MOUNTAIN TREATMENT CENTER LLC

Practice address

3624 W Anthem Way Ste C106
Anthem, AZ 85086-0454

Phone

(602) 441-3573

NPI assigned

Jun 23, 2020

Last updated

Feb 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas MoshiriNPI 1487628442

Title

Manager

Phone

(602) 441-3573

Specialties & licenses 1

Addresses

Locations

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.

• Thomas M Moshiri, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1487628442
  Authorized official Same address or phone

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1548886773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-606",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY STE C106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860454",
            "telephone_number": "602-441-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY MOUNTAIN TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-441-3573"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cvelich, RN
• Thomas R Czyz, O.D.
• Ann Marie D'Onofrio, N.P.
• Daisy Mountain Fire District
• Daisy Mountain Surgical Associates PLLC
• Charlynn Darrah, MSPT
• Darren L Flowers DMD PLLC
• Cara Davelaar, RN, BSN
• Tracy Davis, HEALTH EDUCATOR
• Kayla De Szendeffy, OTR/L

• Ambulatory Surgical Clinic/Center in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.