Organization Active NPI

Paloverde Treatment Center

  • Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1831783489
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PALOVERDE TREATMENT CENTER
Practice address
5533 E Bell Rd Ste 111
Scottsdale, AZ 85254-1256
Phone
(602) 334-1080
Fax
(602) 788-4208
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Justin P Pierce, DC
Title
Owner
Phone
(517) 214-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

5533 E Bell Rd Ste 111
Scottsdale, AZ 85254-1256

Mailing address

5533 E Bell Rd Ste 111
Scottsdale, AZ 85254-1256
Phone (602) 334-1080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1831783489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD STE 111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541256",
            "telephone_number": "602-334-1080",
            "fax_number": "602-788-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD STE 111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541256",
            "telephone_number": "602-334-1080",
            "fax_number": "602-788-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOVERDE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-214-2501",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

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

Verify at the official NPI Registry.