Organization Active NPI

Vitacare Mobile Wound Specialists LLC

  • General Practice Physician
  • Peoria, AZ
National Provider Identifier
1760314421
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VITACARE MOBILE WOUND SPECIALISTS LLC
Practice address
8609 W Ruth Ave
Peoria, AZ 85345-7898
Phone
(480) 689-0229
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Mr. David A Dunn, DUNN
Title
Managing Member
Phone
(480) 689-0229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8609 W Ruth Ave
Peoria, AZ 85345-7898

Mailing address

8609 W Ruth Ave
Peoria, AZ 85345-7898
Phone (480) 689-0229

Other practice location 1

1322 Space Park Dr Ste B144
Houston, TX 77058-3544
Phone (480) 689-0229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1760314421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 W RUTH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457898",
            "telephone_number": "480-689-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 W RUTH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457898",
            "telephone_number": "480-689-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 Space Park Dr Ste B144",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583544",
            "country_code": "US",
            "telephone_number": "480-689-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITACARE MOBILE WOUND SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-689-0229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DUNN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.