Organization Active NPI

Arizona Breastnet, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1639205909
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11346 Issued in AZ
Legal business name
ARIZONA BREASTNET, LLC
Practice address
8896 E Becker LN
101
Scottsdale, AZ 85260-6281
Phone
(480) 314-7600
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Cathy Tigges
Title
Credentialist
Phone
(602) 926-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 11346 AZ Primary

Addresses

Primary practice location

8896 E Becker LN
101
Scottsdale, AZ 85260-6281

Mailing address

8896 E Becker LN
101
Scottsdale, AZ 85260-6281
Phone (480) 314-7600

Other identifiers 1

IdentifierTypeStateIssuer
DN4251OtherAZMEIDCARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000686 AZ Part B Supplier - Clinic/Group Practice 4284618554 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8896 E Becker Ln
Ste 101
Scottsdale, AZ 85260
Phone (480) 314-7600

8994 E Desert Cove Ave
Ste 200
Scottsdale, AZ 85260
Phone (480) 314-7600

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1639205909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 E BECKER LN",
            "address_2": "101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606281",
            "telephone_number": "480-314-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 E BECKER LN",
            "address_2": "101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606281",
            "telephone_number": "480-314-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BREASTNET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "TIGGES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "602-926-1696"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "11346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDCARE RAIL ROAD",
            "identifier": "DN4251",
            "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 May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.