Active NPI
Desert Sky Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1871139931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DESERT SKY SURGERY CENTER, LLC
- Practice address
- 20045 N 19TH Ave BLDG 12
Phoenix, AZ 85027-4270 - Phone
- (602) 313-8110
- NPI assigned
- Nov 25, 2019
- 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
- Dr. Daniel O'Connor, MD
- Title
- Owner/Medical Director
- Phone
- (214) 295-6703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
20045 N 19TH Ave BLDG 12
Phoenix, AZ 85027-4270
Mailing address
18511 N Scottsdale Rd Ste 202
Scottsdale, AZ 85255-9694
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1871139931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18511 N SCOTTSDALE RD STE 202",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852559694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20045 N 19TH AVE BLDG 12",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274270",
"telephone_number": "602-313-8110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT SKY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "214-295-6703",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"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 Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.