Maryvale Family Practice Group Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARYVALE FAMILY PRACTICE GROUP INC.

Practice address

4700 N 51St Ave
Suite 6
Phoenix, AZ 85031-1237

Phone

(623) 209-5555

Fax

(623) 247-1905

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Avetis Ordakian

Title

President

Phone

(623) 209-5555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1831373091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-209-5555",
            "fax_number": "623-247-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-209-5555",
            "fax_number": "623-247-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE FAMILY PRACTICE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "ORDAKIAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-209-5555"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Andrew Maryon, MS, LAC
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• Maryvale Children'S Dentistry and Orthodontics PLLC
• Maryvale Dental Studio
• Maryvale Facility Group LLC
• Maryvale Medical LLC
• Maryvale Pediatric Clinic
• Maryvale Pharmacy Inc
• Maryvale Surgery Center, LLC
• Nicole Ann Marzan, AU.D.

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.