Desert Fountain Medical, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DESERT FOUNTAIN MEDICAL, PLLC

Practice address

17100 E Shea Blvd Ste 320
Fountain Hills, AZ 85268-6654

Phone

(480) 816-8300

NPI assigned

Jan 2, 2018

Last updated

Jan 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grant AndresNPI 1831606649

Title

Clinic Director

Phone

(480) 816-8300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Andres, DC

  • Chiropractor
  • Fountain Hills, AZ
  • NPI 1831606649
  Authorized official Same address or phone

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1639686546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 320",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 320",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686654",
            "telephone_number": "480-816-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FOUNTAIN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "480-816-8300"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermright LLC
• Desert Community Medical Associates
• Desert Family Home Health LLC
• Desert Foot & Ankle P C
• Desert Fountain Medical Inc
• Despain Senior Care LLC (Home Instead Senior Care)
• Dolores L Dias, FNP-BC
• Alexa Noel Diaz, CCC-SLP
• Laura Dimartino, OTR/L
• Discover Mobility, Inc

• General Practice Physician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.