Individual provider Active NPI

Daniel Remen, M.D.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1639165178
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7845 Issued in AZ
Practice address
6036 N 19TH Ave
Ste: 502
Phoenix, AZ 85015-2106
Phone
(602) 589-0500
Fax
(602) 589-0198
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7845 AZ Primary

Addresses

Primary practice location

6036 N 19TH Ave
Ste: 502
Phoenix, AZ 85015-2106

Mailing address

PO Box 93806
Phoenix, AZ 85070-3806
Phone (480) 361-7680

Other identifiers 1

IdentifierTypeStateIssuer
215790MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7845AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Remen MD Specialist PastSince May 21, 2004 Accepting new patients
Richard L Gomez MD PC Specialist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639165178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93806",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850703806",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE",
            "address_2": "STE: 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152106",
            "telephone_number": "602-589-0500",
            "fax_number": "602-589-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMEN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "7845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.