Organization Active NPI

Neb Group of Arizona LLC

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
National Provider Identifier
1871551903
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEB GROUP OF ARIZONA LLC
Doing business as
Neb Doctors of Arizona LLC
Practice address
8261 E. Evans Rd
Suite 102
Scottsdale, AZ 85260
Phone
(480) 595-7272
Fax
(480) 595-7273
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Jackie Keene
Title
Owner
Phone
(480) 595-7272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

8261 E. Evans Rd
Suite 102
Scottsdale, AZ 85260

Mailing address

8711 E. Pinnacle Peak Rd. PMB
PMB 327
Scottsdale, AZ 85255
Phone (480) 595-7272

Other identifiers 1

IdentifierTypeStateIssuer
917685MedicaidAZ

Other names 1

  • Neb Doctors of Arizona LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004989 AZ DME Supplier - Medical Supply Company 5496965048 Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Neb Group of Arizona, LLC8261 E Evans Rd, Scottsdale, AZ 85260-3611(602) 909-7115 Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Feb 11, 2005

National Provider Directory

National Provider Directory

Locations

8260 E Raintree Dr
Ste 119
Scottsdale, AZ 85260
Phone (480) 595-7272

8261 E Evans Rd
Ste 102
Scottsdale, AZ 85260
Phone (480) 595-7272

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1871551903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 E. PINNACLE PEAK RD. PMB",
            "address_2": "PMB 327",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-595-7272",
            "fax_number": "480-595-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 E. EVANS RD",
            "address_2": "SUITE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-595-7272",
            "fax_number": "480-595-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEB GROUP OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-595-7272"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917685",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neb Doctors of Arizona LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.