Organization Active NPI

Ranstom Creation LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1730767856
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RANSTOM CREATION LLC
Practice address
1050 W 8TH Ave Apt 205
Mesa, AZ 85210-3475
Phone
(480) 465-2516
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Jakesteve Biko Ondieki, MD
Title
Operations Director
Phone
(480) 465-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1050 W 8TH Ave Apt 205
Mesa, AZ 85210-3475

Mailing address

1050 W 8TH Ave Apt 205
Mesa, AZ 85210-3475
Phone (480) 465-2516

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MESA Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1730767856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 8TH AVE APT 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103475",
            "telephone_number": "480-465-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W 8TH AVE APT 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103475",
            "telephone_number": "480-465-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANSTOM CREATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "ONDIEKI",
        "authorized_official_first_name": "JAKESTEVE",
        "authorized_official_middle_name": "BIKO",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "480-465-2516",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MESA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1050 W 8th Ave Apt 205",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852103475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.