Arizona Injury Center PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ARIZONA INJURY CENTER PLLC

Doing business as

Regal DME

Practice address

21582 S Ellsworth Loop Rd Ste 120
Queen Creek, AZ 85142-7882

Phone

(480) 987-5091

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By 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

Dr. Craig Peterson, DC

Title

Member Manager

Phone

(480) 639-8833

Specialties & licenses 1

Addresses

Other names 1

• Regal DME Doing business as

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1669013249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21283 E MISTY LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425064",
            "telephone_number": "480-639-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21582 S ELLSWORTH LOOP RD STE 120",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427882",
            "telephone_number": "480-987-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INJURY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-639-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.