Organization Active NPI

Mountain Vista Pain Management LLC

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1629499421
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
MOUNTAIN VISTA PAIN MANAGEMENT LLC
Practice address
1375 N Scottsdale Rd
Ste 180
Scottsdale, AZ 85257-3411
Phone
(480) 874-9800
Fax
(480) 874-9804
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Dr. Adam Downs, DCNPI 1043309503
Title
Ceo
Phone
(480) 874-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X AZ Primary

Addresses

Primary practice location

1375 N Scottsdale Rd
Ste 180
Scottsdale, AZ 85257-3411

Mailing address

1375 N Scottsdale Rd
Ste 180
Scottsdale, AZ 85257-3411
Phone (480) 874-9800

Other identifiers 1

IdentifierTypeStateIssuer
AP2495OtherAZSTATE LICENCE

National Provider Directory

National Provider Directory

Locations

1375 N Scottsdale Rd
Ste 1
Scottsdale, AZ 85257
Phone (480) 874-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1629499421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N SCOTTSDALE RD",
            "address_2": "STE 180",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573411",
            "telephone_number": "480-874-9800",
            "fax_number": "480-874-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N SCOTTSDALE RD",
            "address_2": "STE 180",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573411",
            "telephone_number": "480-874-9800",
            "fax_number": "480-874-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-874-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "AP2495",
            "state": "AZ"
        }
    ],
    "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 20, 2013; 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.