Grand Canyon Diagnostic Services

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

GRAND CANYON DIAGNOSTIC SERVICES

Practice address

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045

Phone

(480) 282-7938

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Beth Schleeper

Title

Credentialing

Phone

(602) 246-0721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1730788035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-282-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-282-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CANYON DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SCHLEEPER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "602-246-0721"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Graham, COTA
• Matthew M. Graham, D.O.
• Tatiana Graham
• William D Grainger, MD
• Katlyn Ann Grams
• Grand Canyon State Health Care LLC
• Deepa Maria Grandon, M.D., M.B.A
• Emalee Grant, LPC
• Eric Lee Grant, DMD
• Isabel Grant, ND

• Sleep Medicine (Internal Medicine) Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Sleep Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.