Organization Active NPI

Vip IV Wellness LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1740119197
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VIP IV WELLNESS LLC
Practice address
1530 E Williams Field Rd Ste 105
Gilbert, AZ 85295-1824
Phone
(480) 740-1910
NPI assigned
May 13, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Patrick Smith
Title
Manager
Phone
(480) 740-1910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1530 E Williams Field Rd Ste 105
Gilbert, AZ 85295-1824

Mailing address

1530 E Williams Field Rd Ste 105
Gilbert, AZ 85295-1824
Phone (480) 605-5400

National Provider Directory

National Provider Directory

Locations

1530 E Williams Field Rd
Ste 105
Gilbert, AZ 85295
Phone (480) 550-8050

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1740119197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951824",
            "telephone_number": "480-605-5400",
            "fax_number": "480-520-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951824",
            "telephone_number": "480-740-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP IV WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-740-1910"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.