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

Last updated

Jan 5, 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

Sham M VengurlekarNPI 1366401721

Title

MD

Phone

(480) 314-2288

Specialties & licenses 1

Addresses

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.

• Sham M Vengurlekar, MD

  • Specialist
  • Phoenix, AZ
  • NPI 1366401721
  Authorized official Same address or phone

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 (Agave Pediatrics)
• Scottsdale Perinatal Associates LLC (Amomi Pregnancy Wellness - Spa)
• 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.