Organization Active NPI

Tri-Medical Family Care, LLC

  • General Practice Physician
  • Chandler, AZ
National Provider Identifier
1609475714
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TRI-MEDICAL FAMILY CARE, LLC
Practice address
855 E Warner Rd Ste 100
Chandler, AZ 85225-0998
Phone
(602) 282-3817
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Brandon Kulp
Title
Member
Phone
(602) 282-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

855 E Warner Rd Ste 100
Chandler, AZ 85225-0998

Mailing address

8715 W Union Hills Dr
Peoria, AZ 85382-3029

National Provider Directory

National Provider Directory

Locations

8715 W Union Hills Dr
Peoria, AZ 85382

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1609475714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E WARNER RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852250998",
            "telephone_number": "602-282-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-MEDICAL FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-282-3817"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.