Active NPI
Avant Healthcare LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tempe, AZ
National Provider Identifier
1699300053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- AVANT HEALTHCARE LLC
- Practice address
- 1001 E Warner Rd Ste 107
Tempe, AZ 85284-3224 - Phone
- (480) 897-3300
- NPI assigned
- Mar 5, 2020
- 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
- Jeremy Buckner, DC
- Title
- Owner
- Phone
- (602) 421-2730
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1001 E Warner Rd Ste 107
Tempe, AZ 85284-3224
Mailing address
PO Box 11180
Tempe, AZ 85284-0020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583452800000",
"number": "1699300053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11180",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852840020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E WARNER RD STE 107",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843224",
"telephone_number": "480-897-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A",
"authorized_official_last_name": "BUCKNER",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-421-2730",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.