Desert Diagnostic Health Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DESERT DIAGNOSTIC HEALTH SERVICES

Practice address

6929 N Hayden Rd
C4 -130
Scottsdale, AZ 85250-7978

Phone

(623) 335-1103

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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. Dirk Kancilia, DC

Title

Director

Phone

(623) 335-1103

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1700245198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 N HAYDEN RD",
            "address_2": "C4 -130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507978",
            "telephone_number": "623-335-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 N HAYDEN RD",
            "address_2": "C4 -130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507978",
            "telephone_number": "623-335-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DIAGNOSTIC HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "KANCILIA",
        "authorized_official_first_name": "DIRK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-335-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "8363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.