Desert Sage Nutrition Center

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DESERT SAGE NUTRITION CENTER

Practice address

4007 E Charter Oak Rd
Phoenix, AZ 85032-7470

Phone

(480) 332-3098

NPI assigned

Oct 26, 2018

Organization subpart

No

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

Authorized official

Name

Marilyn Cryan, RDNPI 1043586886

Title

Owner

Phone

(480) 332-3098

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn C Cryan, RD

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1043586886

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1851868921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 E CHARTER OAK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 E CHARTER OAK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327470",
            "telephone_number": "480-332-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SAGE NUTRITION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "CRYAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-332-3098",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Run Multispecialty PLC
• Desert Sage Family Dental
• Desert Sage Group Home LLC (Desert Sage)
• Desert Sage II
• Desert Sage III
• Desert Sand Wellness LLC
• Desert Sands Management, Inc (Desert Sands Dentistry)
• Desert Sands Medical Group
• Desert Shadows Chiropractic & Wellness
• Desert Shores Dentistry, PLLC

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.