Daisy Mountain Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

105 Issued in AZ

Legal business name

DAISY MOUNTAIN FIRE DISTRICT

Practice address

41018 N Daisy Mountain Dr
Anthem, AZ 85086

Phone

(623) 465-7400

Fax

(623) 465-7632

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Patrick Tobin

Title

Fire Chief

Phone

(623) 465-7400

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1821133745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41018 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864615",
            "telephone_number": "623-465-7400",
            "fax_number": "623-465-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41018 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-465-7400",
            "fax_number": "623-465-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY MOUNTAIN FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "623-465-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "105",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AY6321",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0151270",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375479",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shylah Megan Crampton, M.S., CCC-SLP
• Crown Dental
• Danielle Cvelich, RN
• Thomas R Czyz, O.D.
• Ann Marie D'Onofrio, N.P.
• Daisy Mountain Surgical Associates PLLC
• Daisy Mountain Treatment Center LLC
• Charlynn Darrah, MSPT
• Darren L Flowers DMD PLLC
• Cara Davelaar, RN, BSN

• Land Ambulance in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.