Active NPI
Jennifer G Casanova, MD
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1740269182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29245
- Practice address
- 710 W Bell Rd
Phoenix, AZ 85023-3507 - Phone
- (602) 588-3800
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29245 | AZ | Primary |
Addresses
Primary practice location
710 W Bell Rd
Phoenix, AZ 85023-3507
Mailing address
710 W Bell Rd
Phoenix, AZ 85023-3507
Phone (602) 588-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 724212 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29245 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740269182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850233507",
"telephone_number": "602-588-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850233507",
"telephone_number": "602-588-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASANOVA",
"first_name": "JENNIFER",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "29245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "724212",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.