Desert Valley Advanced Pain Management, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DESERT VALLEY ADVANCED PAIN MANAGEMENT, PLLC

Practice address

11024 N 28TH Dr
Suite 160
Phoenix, AZ 85029-4377

Phone

(602) 863-3924

Fax

(602) 863-3926

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James H Diede, MDNPI 1679569685

Title

President

Phone

(602) 863-3924

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• James H Diede, M.D.

  • Specialist
  • Phoenix, AZ
  • NPI 1679569685
  Medicare reassignment NPD Authorized official
• Steven P Laitin, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1255327474

  Specialist

  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1851552400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "602-863-3924",
            "fax_number": "602-863-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "602-863-3924",
            "fax_number": "602-863-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY ADVANCED PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "DIEDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-863-3924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z127383",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Surgical Specialists, PLLC
• Desert TMS LLC
• Desert Tranquility Behavioral Health PLLC
• Desert Transplants, P.C.
• Desert Tree Therapy
• Desert Valley Dermatology PLC
• Desert Valley Health Corp (First Day Homecare)
• Desert Valley Hospice LLC (Desert Valley Palliative Care)
• Desert Valley Hospice LLC
• Desert Valley Infectious Disease Physicians

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.