Organization Active NPI

Demir Medical Group SC

Doing business as Desert Womens Care

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
National Provider Identifier
1720415508
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36773 Issued in AZ
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 SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
503386MedicaidAZ
36773OtherAZAZ LICENSE
11737757OtherAZCAQH
203537MedicaidAZ

Other names 1

  • Desert Womens Care Doing business as

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.

Verify at the official NPI Registry.