Glendale Regenerative Medicine

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GLENDALE REGENERATIVE MEDICINE

Practice address

18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045

Phone

(623) 544-9090

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Seth Cark, DPM

Title

Partner

Phone

(623) 544-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1568047595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE F168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086045",
            "telephone_number": "623-544-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE F168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086045",
            "telephone_number": "623-544-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "CARK",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-544-9090",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Obstetrics and Gynecology PC
• Glendale Pain Treatment Center
• Glendale Pediatrics LLC
• Glendale Redbird Co
• Glendale Redbird Co
• Glendale Sports Massage LLC
• Glendale Surgery Center
• Glendale Surgical Centers of Arizona
• Glendale Therapy Associates LLC
• Glendale Union High School Dist

• Pain Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.