Organization Active NPI

Desert Rose Neurology

  • Pain Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1780943456
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
19818 Issued in AZ
Legal business name
DESERT ROSE NEUROLOGY
Practice address
2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Phone
(520) 417-1133
Fax
(520) 417-1133
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Guy C Cary, MD
Title
Owner
Phone
(520) 417-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 19818 AZ Primary

Addresses

Primary practice location

2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841

Mailing address

2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Phone (520) 417-1133

Other identifiers 1

IdentifierTypeStateIssuer
3257011OtherECFMG

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1780943456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352841",
            "telephone_number": "520-417-1133",
            "fax_number": "520-417-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352841",
            "telephone_number": "520-417-1133",
            "fax_number": "520-417-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-417-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "19818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "3257011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.