Active NPI
Janssen Todd
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1861954927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7579
- Practice address
- 9250 W Thomas Rd Ste 150
Phoenix, AZ 85037-3382 - Phone
- (602) 375-6229
- NPI assigned
- Apr 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7579 | AZ | Primary |
Addresses
Primary practice location
9250 W Thomas Rd Ste 150
Phoenix, AZ 85037-3382
Mailing address
9250 W Thomas Rd Ste 150
Phoenix, AZ 85037-3382
Phone (602) 375-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729003318 | AZ | Order and Referring Only - Physician Assistant | 2961835269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7579 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1861954927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 W THOMAS RD STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373382",
"telephone_number": "602-375-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 W THOMAS RD STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373382",
"telephone_number": "602-375-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "JANSSEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.