Organization Active NPI

Valley Spinal Care Pain Relief, LLC

  • General Practice Physician
  • Scottsdale, AZ
National Provider Identifier
1699374702
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VALLEY SPINAL CARE PAIN RELIEF, LLC
Practice address
15425 N Greenway Hayden Loop Ste A200
Scottsdale, AZ 85260-1239
Phone
(602) 282-3816
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Brandon Kulp
Title
Member
Phone
(602) 282-3816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15425 N Greenway Hayden Loop Ste A200
Scottsdale, AZ 85260-1239

Mailing address

8715 W Union Hills Dr Ste 109
Peoria, AZ 85382-3031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1699374702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR STE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601239",
            "telephone_number": "602-282-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SPINAL CARE PAIN RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-282-3816"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 20, 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.

Verify at the official NPI Registry.