Organization Active NPI

K. Valderhaug MD PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1861959702
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
K. VALDERHAUG MD PLLC
Practice address
8603 E Royal Palm Rd Ste 120
Scottsdale, AZ 85258-4389
Phone
(480) 485-9385
Fax
(480) 781-4540
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Kristen Valderhaug, MDNPI 1104952449
Title
Owner
Phone
(480) 485-9385

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8603 E Royal Palm Rd Ste 120
Scottsdale, AZ 85258-4389

Mailing address

PO Box 15356
Scottsdale, AZ 85267-5356
Phone (480) 485-9385

National Provider Directory

National Provider Directory

Locations

14825 E Shea Blvd
Ste 105
Fountain Hls, AZ 85268
Phone (480) 385-9896

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1861959702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15356",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675356",
            "telephone_number": "480-485-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 E ROYAL PALM RD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584389",
            "telephone_number": "480-485-9385",
            "fax_number": "480-781-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. VALDERHAUG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALDERHAUG",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-485-9385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.