NPIMap

Organization Active NPI

Physician Business Services LLC

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1730171539
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN BUSINESS SERVICES LLC
Practice address
1040 Whipple St
Suite 209
Prescott, AZ 86305-1613
Phone
(928) 776-6400
Fax
(928) 772-6410
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Dieter W Krantz
Title
Vice President
Phone
(928) 772-2591

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AZ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X AZ Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X AZ

Addresses

Primary practice location

1040 Whipple St
Suite 209
Prescott, AZ 86305-1613

Mailing address

1040 Whipple St
Suite 209
Prescott, AZ 86305-1613
Phone (928) 776-6400

Other identifiers 1

IdentifierTypeStateIssuer
553653MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Physician Business Serivces LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730171539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WHIPPLE ST",
            "address_2": "SUITE 209",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051613",
            "telephone_number": "928-776-6400",
            "fax_number": "928-772-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WHIPPLE ST",
            "address_2": "SUITE 209",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051613",
            "telephone_number": "928-776-6400",
            "fax_number": "928-772-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN BUSINESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "DIETER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-772-2591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.