Organization Active NPI

Silverleaf Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1780035428
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SILVERLEAF SURGICAL CENTER, LLC
Practice address
1704 E Boston St
Gilbert, AZ 85295-6223
Phone
(480) 757-5548
Fax
(480) 757-5547
NPI assigned
Jun 23, 2016
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
David TomNPI 1043491988
Title
Medical Director
Phone
(480) 757-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1704 E Boston St
Gilbert, AZ 85295-6223

Mailing address

1704 E Boston St
Gilbert, AZ 85295-6223

National Provider Directory

National Provider Directory

Locations

1704 E Boston St
Gilbert, AZ 85295
Phone (480) 656-8600

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1780035428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956223",
            "telephone_number": "480-757-5548",
            "fax_number": "480-757-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLEAF SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-757-5548"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "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 Jan 2, 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.

Verify at the official NPI Registry.