Laser Pain Away

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

LASER PAIN AWAY

Practice address

6025 E McKellips Rd Ste 102
Mesa, AZ 85215-2862

Phone

(480) 370-0527

NPI assigned

Mar 23, 2020

Last updated

Jun 21, 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

Jason Caldwell, DOMNPI 1851631873

Title

Owner

Phone

(480) 370-0527

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• ARIZONA ADVANCED HEALTH Former legal business name
• LASER PAIN AWAY Other name

Electronic endpoints 1

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.

• Jason Jonas Caldwell, D.O.M

  • Acupuncturist
  • Mesa, AZ
  • NPI 1851631873
  NPD Authorized official

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1588291330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 E MCKELLIPS RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152862",
            "telephone_number": "480-370-0527",
            "fax_number": "480-534-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 E MCKELLIPS RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152862",
            "telephone_number": "480-370-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER PAIN AWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-370-0527",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1013",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Gilbert",
            "affiliation": "N",
            "endpointDescription": "MEDICAL DOCUMENTATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6025 E McKellips Rd Ste 102",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852152862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARIZONA ADVANCED HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LASER PAIN AWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.