Premium Advisors

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PREMIUM ADVISORS

Practice address

6314 South 54TH Lane, Laveen Village, Az, USA
Laveen, AZ 85339

Phone

(602) 317-1006

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Destiny Carter

Title

Owner

Phone

(602) 317-1006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1831870617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 SOUTH 54TH LANE, LAVEEN VILLAGE, AZ, USA",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "602-317-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 SOUTH 54TH LANE, LAVEEN VILLAGE, AZ, USA",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "602-317-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM ADVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-317-1006"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Zarina Ploss, DMD
• Shelia Rene Porter
• Preference Healthcare Group PLLC
• Preferred Pain Center Laveen, LLC
• Premier Medical Transport of Arizona
• George Prempeh
• Private Healthcare Facilities
• Progress Az LLC
• Progressive Health Alliance LLC
• Project180-Phoenix, LLC

• Health Service Clinic/Center in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.