Active NPI
Facasurgery LLC
- Surgery Physician
- Chandler, AZ
National Provider Identifier
1831686112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FACASURGERY LLC
- Practice address
- 1831 E Queen Creek Rd # 120
Chandler, AZ 85286-2019 - Phone
- (480) 200-8985
- NPI assigned
- Apr 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer Niemann, DPM
- Title
- Owner
- Phone
- (480) 917-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1831 E Queen Creek Rd # 120
Chandler, AZ 85286-2019
Mailing address
1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone (480) 200-8985
National Provider Directory
National Provider DirectoryLocations
1831 E Queen Creek Rd
#120
Chandler, AZ 85286
Phone (480) 200-8985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622160000000",
"number": "1831686112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E QUEEN CREEK RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862019",
"telephone_number": "480-200-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 E QUEEN CREEK RD # 120",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862019",
"telephone_number": "480-200-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACASURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-22",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A",
"authorized_official_last_name": "NIEMANN",
"authorized_official_first_name": "SPENCER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-917-2300",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.