Active NPI
Daniel Remen, M.D.
- Specialist
- Phoenix, AZ
National Provider Identifier
1639165178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215790 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7845 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Remen MD | Specialist | Past | 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.
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- Specialist
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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.