NPIMap

Organization Active NPI

Craig M. Rundbaken, D.O. PLLC

  • Pulmonary Disease Physician
  • Sun City West, AZ
National Provider Identifier
1821279308
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CRAIG M. RUNDBAKEN, D.O. PLLC
Practice address
14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone
(623) 975-0500
Fax
(623) 975-0705
NPI assigned
Nov 26, 2007
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Clay W Spence
Title
Administrator
Phone
(623) 975-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798

Mailing address

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone (623) 975-0500

Other practice location 1

919 12th Pl Ste 12
Prescott, AZ 86305-1433
Phone (928) 227-1954

Other practice location 2

9515 W Camelback Rd Ste 118
Phoenix, AZ 85037-1365
Phone (623) 322-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000543 AZ Part B Supplier - Clinic/Group Practice 8628982741 Receives reassigned benefits from 17 practitioners
Practice locations: Mesa, AZ; Phoenix, AZ; Prescott, AZ; Sun City West, AZ

National Provider Directory

National Provider Directory

Locations

9515 W Camelback Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 322-7856

919 12th Pl
Ste 12
Prescott, AZ 86305
Phone (928) 227-1954

13830 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 544-0700

14300 W Granite Valley Dr
Ste E23
Sun City West, AZ 85375
Phone (623) 975-0500

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1821279308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 12th Pl Ste 12",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051433",
            "country_code": "US",
            "telephone_number": "928-227-1954",
            "fax_number": "480-951-8225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 W Camelback Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850371365",
            "country_code": "US",
            "telephone_number": "623-322-7856",
            "fax_number": "623-258-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAIG M. RUNDBAKEN, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-975-0500"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.