Active NPI
Irina Perry
- Driver
- Phoenix, AZ
National Provider Identifier
1841031200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D08031775
- Practice address
- 623 S 28TH Ave
Phoenix, AZ 85009-5726 - Phone
- (480) 766-8134
- NPI assigned
- Jun 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D08031775 | AZ | Primary |
Addresses
Primary practice location
623 S 28TH Ave
Phoenix, AZ 85009-5726
Mailing address
4939 W Ray Rd Ste 4510
Chandler, AZ 85226-2065
Phone (480) 766-8134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D08031775 | AZ | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Transportation Broker | Current | Accepting new patients |
Locations
4939 W Ray Rd
Ste 4510
Chandler, AZ 85226
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Transportation Broker
- Chandler, AZ
- NPI 1336000678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1841031200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4939 W RAY RD STE 4510",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262065",
"telephone_number": "480-766-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 S 28TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850095726",
"telephone_number": "480-766-8134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "IRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AZ",
"license": "D08031775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.