Active NPI
Tri-City Express Care PLLC
- Urgent Care Clinic/Center
- Goodyear, AZ
National Provider Identifier
1649530197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- TRI-CITY EXPRESS CARE PLLC
- Practice address
- 1507 N Litchfield Rd
Goodyear, AZ 85395-1237 - Phone
- (623) 215-0040
- Fax
- (623) 535-3397
- NPI assigned
- May 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Dunn, MD
- Title
- Cmo
- Phone
- (480) 545-2787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1507 N Litchfield Rd
Goodyear, AZ 85395-1237
Mailing address
890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712139 | Medicaid | AZ | |
| OTC5412 | Other | AZ | STATE LICENSE NUMBER |
Other names 1
- FastMed Urgent Care
National Provider Directory
National Provider DirectoryLocations
1507 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 215-0040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Litchfield Park, AZ
- NPI 1194730762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1649530197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W ELLIOT RD",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335102",
"telephone_number": "480-545-2787",
"fax_number": "480-545-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 N LITCHFIELD RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951237",
"telephone_number": "623-215-0040",
"fax_number": "623-535-3397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY EXPRESS CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-17",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "480-545-2787",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "712139",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "OTC5412",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FastMed Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.