NPIMap

Organization Active NPI

Modern Disc & Sports LLC

  • Specialist
  • Chandler, AZ
National Provider Identifier
1841701307
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MODERN DISC & SPORTS LLC
Doing business as
Associated Medical Specialists
Practice address
100 S McClintock Dr Ste 100
Chandler, AZ 85226-4816
Phone
(602) 481-7369
Fax
(480) 452-1464
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Christina Becker
Title
Manager
Phone
(602) 481-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

100 S McClintock Dr Ste 100
Chandler, AZ 85226-4816

Mailing address

3317 S Higley Rd Ste 114
Gilbert, AZ 85297-5437

Other names 1

  • Associated Medical Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1841701307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MCCLINTOCK DR STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264816",
            "telephone_number": "602-481-7369",
            "fax_number": "480-452-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DISC & SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-481-7369"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.