Enticare PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

ENTICARE PC

Practice address

17215 N 72ND Dr BLDG D
Glendale, AZ 85308-8558

Phone

(480) 214-9000

Fax

(480) 214-9999

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Homan MostafaviNPI 1770679797

Title

Member Manager

Phone

(480) 214-9000

Specialties & licenses 1

Addresses

Tax ID family

Enticare PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Casa Grande, AZ
  • NPI 1184489668
  NPD tax ID
• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Gilbert, AZ
  • NPI 1255196747
  NPD tax ID
• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Tan Valley, AZ
  • NPI 1598520074
  NPD tax ID
• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Scottsdale, AZ
  • NPI 1801651393
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homan Mostafavi, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Chandler, AZ
  • NPI 1770679797
  NPD (past) Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1821853300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-214-9000",
            "fax_number": "480-241-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR BLDG D",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088558",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTICARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-214-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Alan Enniss
• William A Ennist, PTA
• Erika Enomoto, RD
• Heather Marie Enos, RD 960320
• Enroute Provider Services LLC
• Nana Entsuah, PHARM D
• Epiphany Companies LLC
• Michael A Epstein, MD
• Erdmann Chiropractic L.L.C
• Bret Karl Erdmann, D.C

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.