Active NPI
Daniel P Noble, MD
- Orthopaedic Surgery of the Spine Physician
- Prescott, AZ
National Provider Identifier
1700851409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 20097
- Practice address
- 3655 Crossings Dr
Prescott, AZ 86305-7101 - Phone
- (928) 778-9250
- Fax
- (928) 778-9309
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 20097 | NE | Primary |
Addresses
Primary practice location
3655 Crossings Dr
Prescott, AZ 86305-7101
Mailing address
3655 Crossings Dr
Prescott, AZ 86305-7101
Phone (928) 778-9250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026133000 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Orthopaedic Center PC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
| Nebraska Orthopaedic Center PC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/32860/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nebraska Orthopaedic Center
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1184379836
Orthopaedic Surgery of the Spine
-
dba Nebraska Orthopaedic Center
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1659349330
Orthopaedic Surgery of the Spine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1700851409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 CROSSINGS DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057101",
"telephone_number": "928-778-9250",
"fax_number": "844-713-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 CROSSINGS DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057101",
"telephone_number": "928-778-9250",
"fax_number": "928-778-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "DANIEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NE",
"license": "20097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026133000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.