Scottsdale Spine and Joint, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SCOTTSDALE SPINE AND JOINT, LLC

Practice address

7010 E Chauncey LN Ste 215
Phoenix, AZ 85054-3117

Phone

(480) 314-2288

Fax

(480) 314-1113

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Sham M Vengurlekar

Title

MD

Phone

(480) 314-2288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1578035374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 N SCOTTSDALE RD STE A6A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541585",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SPINE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "VENGURLEKAR",
        "authorized_official_first_name": "SHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "480-314-2288"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Mobile C Arm Services, LLC
• Scottsdale Pain Center LLC
• Scottsdale Pain-X PLLC
• Scottsdale Pediatrics and Pediatric Nephrology, PLLC
• Scottsdale Perinatal Associates LLC
• Scottsdale Surgical Assistants Inc
• Jan Harold Scouten, MDIV
• SCP Chiropractic Inc
• Christian Roy Scranton, PTA
• Aaron Scrignar, BHT

• Pain Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 Jan 5, 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.