Active NPI
Banner Sun City Neurological and Surgical Specialists
- Multi-Specialty Clinic/Center
- Sun City, AZ
National Provider Identifier
1629237201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BANNER SUN CITY NEUROLOGICAL AND SURGICAL SPECIALISTS
- Practice address
- 13188 N 103Rd Dr Ste 206
Sun City, AZ 85351-3066 - Phone
- (623) 972-3001
- NPI assigned
- Jun 9, 2008
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis E Dahlen
- Title
- Sr VP Finance
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
13188 N 103Rd Dr Ste 206
Sun City, AZ 85351-3066
Mailing address
1441 Norh 12TH Street
Phoenix, AZ 85006
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1629237201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NORH 12TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13188 N 103RD DR STE 206",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513066",
"telephone_number": "623-972-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER SUN CITY NEUROLOGICAL AND SURGICAL SPECIALISTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SR VP FINANCE",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.