NPIMap

Organization Active NPI

Dysart Unified School District

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1831242445
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
#SLP4009 Issued in AZ
Legal business name
DYSART UNIFIED SCHOOL DISTRICT
Practice address
13700 W Greenway Rd
Surprise, AZ 85374-5291
Phone
(623) 876-7706
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Teresa M Chace
Title
Speech Pathologist
Phone
(623) 876-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X #SLP4009 AZ Primary

Addresses

Primary practice location

13700 W Greenway Rd
Surprise, AZ 85374-5291

Mailing address

9462 N 94TH LN
Peoria, AZ 85345-6370
Phone (623) 734-4477

Other identifiers 1

IdentifierTypeStateIssuer
590902MedicaidAZ

National Provider Directory

National Provider Directory

Locations

13700 W Greenway Rd
Surprise, AZ 85374
Phone (623) 876-7704

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1831242445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 N 94TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456370",
            "telephone_number": "623-734-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 W GREENWAY RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745291",
            "telephone_number": "623-876-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSART UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "623-876-7706"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "#SLP4009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590902",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.