Organization Active NPI

Peter J Reed DO PC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1841544269
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
005940 Issued in AZ
Legal business name
PETER J REED DO PC
Practice address
14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4388
Phone
(602) 795-5505
Fax
(602) 795-9277
NPI assigned
Nov 7, 2012
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Dr. Peter Jeffrey Reed, DONPI 1801025630
Title
President/Physician
Phone
(602) 795-5505

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
Primary Care Clinic/Center 261QP2300X 005940 AZ Primary

Addresses

Primary practice location

14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4388

Mailing address

14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4388
Phone (602) 795-5505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130220000517 AZ Part B Supplier - Clinic/Group Practice 8820243918 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2049961Peter J Reed DO PC14045 N 7TH St Ste 3, Phoenix, AZ 85022Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

14045 N 7th St
Ste 3
Phoenix, AZ 85022
Phone (602) 795-5505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1841544269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224388",
            "telephone_number": "602-795-5505",
            "fax_number": "602-795-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224388",
            "telephone_number": "602-795-5505",
            "fax_number": "602-795-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J REED DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "602-795-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "005940",
            "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 Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.