Organization Active NPI

Oasis Orthopedics, LTD

  • Orthopaedic Surgery Physician
  • Mesa, AZ
National Provider Identifier
1710022033
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OASIS ORTHOPEDICS, LTD
Practice address
1450 S Dobson Rd
Suite B-122
Mesa, AZ 85202-4712
Phone
(480) 833-0204
Fax
(480) 835-1021
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Haagen A Diener, MDNPI 1285638239
Title
President
Phone
(480) 833-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1450 S Dobson Rd
Suite B-122
Mesa, AZ 85202-4712

Mailing address

1450 S Dobson Rd
Suite B-122
Mesa, AZ 85202-4712
Phone (480) 833-0204

Other identifiers 1

IdentifierTypeStateIssuer
B02609MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1500 S Dobson Rd
Ste 113
Mesa, AZ 85202
Phone (602) 833-0204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1710022033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD",
            "address_2": "SUITE B-122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024712",
            "telephone_number": "480-833-0204",
            "fax_number": "480-835-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD",
            "address_2": "SUITE B-122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024712",
            "telephone_number": "480-833-0204",
            "fax_number": "480-835-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS ORTHOPEDICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "DIENER",
        "authorized_official_first_name": "HAAGEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-833-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B02609",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.