Active NPI
Head to Toe Health and Wellness
- Family Medicine Physician
- Goodyear, AZ
National Provider Identifier
1710695069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEAD TO TOE HEALTH AND WELLNESS
- Practice address
- 16196 W Gibson LN
Goodyear, AZ 85338-3448 - Phone
- (623) 640-4792
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey S Roth, FNP
- Title
- Nurse Practitioner
- Phone
- (623) 640-4792
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
16196 W Gibson LN
Goodyear, AZ 85338-3448
Mailing address
PO Box 7744
Goodyear, AZ 85338-0646
Phone (623) 640-4792
National Provider Directory
National Provider DirectoryPractitioners & 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": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1710695069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7744",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853380646",
"telephone_number": "623-640-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16196 W GIBSON LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853383448",
"telephone_number": "623-640-4792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAD TO TOE HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "623-640-4792",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.