Active NPI
San Tan Mountain Pediatrics PLC
- Pediatrics Physician
- Gilbert, AZ
National Provider Identifier
1861624793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29688
- Legal business name
- SAN TAN MOUNTAIN PEDIATRICS PLC
- Practice address
- 3303 S Lindsay Rd
Ste 110
Gilbert, AZ 85297-1504 - Phone
- (480) 659-5811
- NPI assigned
- Aug 11, 2009
- Last updated
- Sep 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Duke, MD
- Title
- Managing Member
- Phone
- (480) 659-5811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29688 | AZ | Primary |
Addresses
Primary practice location
3303 S Lindsay Rd
Ste 110
Gilbert, AZ 85297-1504
Mailing address
PO Box 6443
Chandler, AZ 85246-6443
Phone (480) 659-5811
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1861624793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6443",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466443",
"telephone_number": "480-659-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S LINDSAY RD",
"address_2": "STE 110",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971504",
"telephone_number": "480-659-5811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN TAN MOUNTAIN PEDIATRICS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-659-5811",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "29688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.