Organization Active NPI

Arizona Brain and Spine Center, PLLC

  • Medical Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1881048650
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1120808 Issued in AZ
Legal business name
ARIZONA BRAIN AND SPINE CENTER, PLLC
Practice address
11000 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-5111
Phone
(602) 396-7363
Fax
(602) 266-2927
NPI assigned
Apr 19, 2016
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mrs. Amber N Henry, FACMPE
Title
Practice Administrator
Phone
(602) 396-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1120808 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-5111

Mailing address

11000 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-5111
Phone (602) 396-7363

Other identifiers 5

IdentifierTypeStateIssuer
809932MedicaidAZ
005364MedicaidAZ
840561MedicaidAZ
598763MedicaidAZ
605865MedicaidAZ

National Provider Directory

National Provider Directory

Locations

7649 E Pinnacle Peak Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 378-3983

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1881048650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545111",
            "telephone_number": "602-396-7363",
            "fax_number": "602-266-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545111",
            "telephone_number": "602-396-7363",
            "fax_number": "602-266-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BRAIN AND SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "602-396-7363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "1120808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809932",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005364",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840561",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598763",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605865",
            "state": "AZ"
        }
    ],
    "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 Feb 20, 2025; 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.