Active NPI
Demir Medical Group SC
Doing business as Desert Womens Care
- Obstetrics & Gynecology Physician
- Chandler, AZ
National Provider Identifier
1720415508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 36773
- Legal business name
- DEMIR MEDICAL GROUP SC
- Doing business as
- Desert Womens Care
- Practice address
- 80 N McClintock Dr # 104
Chandler, AZ 85226-3767 - Phone
- (480) 559-4776
- Fax
- (866) 526-7086
- NPI assigned
- Oct 11, 2013
- Organization subpart
- Yes
- Parent organization
- DEMIR MEDICAL GROUP SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Haines Demir, M.D.
- Title
- Provider
- Phone
- (480) 559-4776
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 36773 | AZ | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X | 36773 | AZ | |
| Preferred Provider Organization | 305R00000X | 36773 | AZ |
Addresses
Primary practice location
80 N McClintock Dr # 104
Chandler, AZ 85226-3767
Mailing address
8711 E Pinnacle Peak Rd
218
Scottsdale, AZ 85255-3517
Phone (480) 559-4776
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503386 | Medicaid | AZ | |
| 36773 | Other | AZ | AZ LICENSE |
| 11737757 | Other | AZ | CAQH |
| 203537 | Medicaid | AZ |
Other names 1
- Desert Womens Care
National Provider Directory
National Provider Directory- Part of
- Demir Medical Group S C
Locations
80 N McClintock Dr
Ste 104
Chandler, AZ 85226
Phone (480) 559-4776
80 N McClintock Dr
#104
Chandler, AZ 85226
Phone (480) 559-4776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1720415508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8711 E PINNACLE PEAK RD",
"address_2": "218",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553517",
"telephone_number": "480-559-4776",
"fax_number": "866-526-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 N MCCLINTOCK DR # 104",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263767",
"telephone_number": "480-559-4776",
"fax_number": "866-526-7086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMIR MEDICAL GROUP SC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEMIR MEDICAL GROUP SC",
"enumeration_date": "2013-10-11",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "DEMIR",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "HAINES",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "480-559-4776",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "36773",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "AZ",
"license": "36773",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "AZ",
"license": "36773",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503386",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE",
"identifier": "36773",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11737757",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203537",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Womens Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Desert Womens Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.