Active NPI
Dorothy Brown, LICENSE
- Assisted Living Facility
- Golden Valley, AZ
National Provider Identifier
1710346861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL8993F
- Practice address
- 3732 N Bibo Rd
Golden Valley, AZ 86413-8586 - Phone
- (928) 565-3179
- Fax
- (928) 565-7986
- NPI assigned
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL8993F | AZ | Primary |
Addresses
Primary practice location
3732 N Bibo Rd
Golden Valley, AZ 86413-8586
Mailing address
3732 N Bibo Rd
Golden Valley, AZ 86413-8586
Phone (928) 565-3179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL8993F | Other | AZ | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL8993F | AZ | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1710346861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 N BIBO RD",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864138586",
"telephone_number": "928-565-3179",
"fax_number": "928-565-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3732 N BIBO RD",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864138586",
"telephone_number": "928-565-3179",
"fax_number": "928-565-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DOROTHY",
"credential": "LICENSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL8993F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AL8993F",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.