NPIMap

Organization Active NPI

Desert Ridge Urgent Care LLC

Doing business as NextCare

  • Urgent Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1861458309
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3658 Issued in AZ
Legal business name
DESERT RIDGE URGENT CARE LLC
Doing business as
NextCare
Practice address
20950 N Tatum Blvd
Ste. 190
Phoenix, AZ 85050-4200
Phone
(480) 776-1588
Fax
(480) 776-0026
NPI assigned
Apr 25, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
John ShufeldtNPI 1114955440
Title
Ceo
Phone
(480) 924-8382

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
Urgent Care Clinic/Center 261QU0200X OTC3658 AZ Primary

Addresses

Primary practice location

20950 N Tatum Blvd
Ste. 190
Phoenix, AZ 85050-4200

Mailing address

1710 Thistle Rd
Flagstaff, AZ 86004-7739
Phone (928) 522-8006

Other identifiers 2

IdentifierTypeStateIssuer
906159MedicaidAZ
DD5596OtherAZRAILROAD MEDICARE

Other names 1

  • NextCare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 143

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.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1861458309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 THISTLE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047739",
            "telephone_number": "928-522-8006",
            "fax_number": "928-522-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "STE. 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-776-1588",
            "fax_number": "480-776-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT RIDGE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SHUFELDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-924-8382"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906159",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2008; 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.