Active NPI
Sedona Regenerative Medicine, PC
- General Practice Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 50515
- Legal business name
- SEDONA REGENERATIVE MEDICINE, PC
- Practice address
- 708 Cove Pkwy
Cottonwood, AZ 86326-5332 - Phone
- (928) 282-2520
- Fax
- (928) 433-4985
- NPI assigned
- Jun 25, 2016
- Last updated
- Feb 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Forrest D Lanchbury, MD
- Title
- President
- Phone
- (928) 282-2520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 50515 | AZ | Primary |
Addresses
Primary practice location
708 Cove Pkwy
Cottonwood, AZ 86326-5332
Mailing address
708 Cove Pkwy
Cottonwood, AZ 86326-5332
Phone (928) 282-2520
National Provider Directory
National Provider DirectoryLocations
708 Cove Pkwy
Cottonwood, AZ 86326
Phone (701) 440-8434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Sedona, AZ
- NPI 1063460830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1750732343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 COVE PKWY",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863265332",
"telephone_number": "928-282-2520",
"fax_number": "928-433-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 COVE PKWY",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863265332",
"telephone_number": "928-282-2520",
"fax_number": "928-433-4985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDONA REGENERATIVE MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-25",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "LANCHBURY",
"authorized_official_first_name": "FORREST",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-282-2520",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "50515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.