NPIMap

Organization Active NPI

Harry C. Watters DO MPH-PC

Doing business as Advanced Mens Performance Center

  • Specialist
  • Chandler, AZ
National Provider Identifier
1700210861
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1927 Issued in AZ
Legal business name
HARRY C. WATTERS DO MPH-PC
Doing business as
Advanced Mens Performance Center
Practice address
604 W Warner Rd
E201
Chandler, AZ 85225-2906
Phone
(480) 963-7900
Fax
(480) 732-9478
NPI assigned
Aug 26, 2013
Last updated
Aug 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HARRY C. WATTERS DO MPH-PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Harry C Watters, DO MPH-PCNPI 1316972656
Title
Owner / Ceo
Phone
(480) 963-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1927 AZ Primary

Addresses

Primary practice location

604 W Warner Rd
E201
Chandler, AZ 85225-2906

Mailing address

604 W Warner Rd
E201
Chandler, AZ 85225-2906
Phone (480) 963-7900

Other names 1

  • Advanced Mens Performance Center Doing business as

National Provider Directory

National Provider Directory
Part of
Harry Watters DO

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1700210861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "E201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-963-7900",
            "fax_number": "480-732-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "E201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-963-7900",
            "fax_number": "480-732-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY C. WATTERS DO MPH-PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRY C. WATTERS DO MPH-PC",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "480-963-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO MPH-PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Mens Performance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.