Active NPI
Desert Endocrinology LLC
- Endocrinology, Diabetes & Metabolism Physician
- Phoenix, AZ
National Provider Identifier
1760870919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 31996
- Legal business name
- DESERT ENDOCRINOLOGY LLC
- Practice address
- 2200 N 3Rd St
Phoenix, AZ 85004-1401 - Phone
- (602) 258-9955
- Fax
- (602) 258-9933
- NPI assigned
- Dec 22, 2014
- 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
- Laura A Knecht, M.D.
- Title
- Laura a Knecht MD
- Phone
- (602) 258-9955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 31996 | AZ | Primary |
Addresses
Primary practice location
2200 N 3Rd St
Phoenix, AZ 85004-1401
Mailing address
2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone (602) 258-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236516 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1760870919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041401",
"telephone_number": "602-258-9955",
"fax_number": "602-258-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041401",
"telephone_number": "602-258-9955",
"fax_number": "602-258-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT ENDOCRINOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A",
"authorized_official_last_name": "KNECHT",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LAURA A KNECHT MD",
"authorized_official_telephone_number": "602-258-9955",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "31996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236516",
"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 Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.