Organization Active NPI

Steven C Boles DO PLC

  • Specialist
  • Peoria, AZ
National Provider Identifier
1881737807
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1869 Issued in AZ
Legal business name
STEVEN C BOLES DO PLC
Practice address
9191 W Thunderbird Road
Suite D-105
Peoria, AZ 85381
Phone
(623) 849-3811
Fax
(623) 849-5221
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Steven C Boles, D.O.
Title
Physician
Phone
(623) 849-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 1869 AZ Primary

Addresses

Primary practice location

9191 W Thunderbird Road
Suite D-105
Peoria, AZ 85381

Mailing address

9191 W Thunderbird Road
Suite D-105
Peoria, AZ 85381
Phone (623) 849-3811

National Provider Directory

National Provider Directory

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1881737807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W THUNDERBIRD ROAD",
            "address_2": "SUITE D-105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-849-3811",
            "fax_number": "623-849-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W THUNDERBIRD ROAD",
            "address_2": "SUITE D-105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-849-3811",
            "fax_number": "623-849-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C BOLES DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-849-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.