Organization Active NPI

Greater Phoenix Orthopedics

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1629439005
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
34339 Issued in AZ
Legal business name
GREATER PHOENIX ORTHOPEDICS
Practice address
20401 N 73Rd St
Suite 155
Scottsdale, AZ 85255-4107
Phone
(800) 483-0726
Fax
(800) 483-0729
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Regina Marie Gilleland
Title
Manager
Phone
(623) 208-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X 34339 AZ Primary

Addresses

Primary practice location

20401 N 73Rd St
Suite 155
Scottsdale, AZ 85255-4107

Mailing address

20401 N 73Rd St Ste 160
Scottsdale, AZ 85255-4149
Phone (800) 483-0726

National Provider Directory

National Provider Directory

Locations

625 W Deer Valley Rd
Ste 103
Phoenix, AZ 85027

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1629439005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "800-483-0726",
            "fax_number": "800-483-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554107",
            "telephone_number": "800-483-0726",
            "fax_number": "800-483-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHOENIX ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "GILLELAND",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-208-7979"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "34339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.