The Orthopedic Clinic Association, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE ORTHOPEDIC CLINIC ASSOCIATION, INC

Practice address

18700 N 64TH Dr Ste 205
Glendale, AZ 85308-7112

Phone

(602) 536-7480

Fax

(602) 533-4167

NPI assigned

Jun 4, 2020

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 4

Addresses

Tax ID family

The Orthopedic Clinic3 organizations share this tax ID, including this one

Part of

Tiffany Weathers

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Orthopedic Clinic

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1629261672
  NPD tax ID
• The Orthopedic Clinic Association PC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1194961300
  NPD tax ID

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1699399709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR STE 205",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087112",
            "telephone_number": "602-536-7480",
            "fax_number": "602-533-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPEDIC CLINIC ASSOCIATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Glendale, AZ
• Providers in Glendale, 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 Jan 13, 2022; 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.