Organization Active NPI

Tri-City Family Physicians, P.C.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1710130117
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1977 Issued in AZ
Legal business name
TRI-CITY FAMILY PHYSICIANS, P.C.
Practice address
1343 N. Alma School Rd
Ste 205
Chandler, AZ 85224
Phone
(480) 963-1853
Fax
(480) 963-1854
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Deborah Grace
Title
Business Office Administrator
Phone
(480) 776-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1977 AZ Primary

Addresses

Primary practice location

1343 N. Alma School Rd
Ste 205
Chandler, AZ 85224

Mailing address

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5941
Phone (480) 963-1853

Other identifiers 1

IdentifierTypeStateIssuer
254045MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1710130117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245941",
            "telephone_number": "480-963-1853",
            "fax_number": "480-726-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N. ALMA SCHOOL RD",
            "address_2": "STE 205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY FAMILY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BUSINESS OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-776-5489"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2008; 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.