Organization Active NPI

Dr. Tracey Rosenfeld LLC

  • Medical Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1831897933
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DR. TRACEY ROSENFELD LLC
Practice address
2515 N Scottsdale Rd Ste 14
Scottsdale, AZ 85257-1352
Phone
(480) 656-1147
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dr. Tracey Alayne Ryder, DCNPI 1275507303
Title
Owner
Phone
(480) 656-1147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2515 N Scottsdale Rd Ste 14
Scottsdale, AZ 85257-1352

Mailing address

2515 N Scottsdale Rd Ste 14
Scottsdale, AZ 85257-1352
Phone (480) 656-1147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515002989 AZ Part B Supplier - Clinic/Group Practice 3678948650 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

2515 N Scottsdale Rd
Ste 14
Scottsdale, AZ 85257
Phone (480) 656-1147

Practitioners & affiliated clinicians

Practitioners 1

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1831897933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N SCOTTSDALE RD STE 14",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571352",
            "telephone_number": "480-656-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N SCOTTSDALE RD STE 14",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571352",
            "telephone_number": "480-656-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRACEY ROSENFELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ALAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-656-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.