NPIMap

Organization Active NPI

Desert Neurosurgery, PC

  • Neurological Surgery Physician
  • Mesa, AZ
National Provider Identifier
1891976569
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
DESERT NEUROSURGERY, PC
Practice address
4566 E Inverness Ave
Ste #208
Mesa, AZ 85206
Phone
(480) 993-1330
Fax
(480) 993-1335
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Karen Arlene Black
Title
Office Administrator
Phone
(480) 993-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4566 E Inverness Ave
Ste #208
Mesa, AZ 85206

Mailing address

4566 E Inverness Ave
Ste #208
Mesa, AZ 85206
Phone (480) 993-1330

National Provider Directory

National Provider Directory

Locations

4566 E Inverness Ave
Ste 203
Mesa, AZ 85206

4566 E Inverness Ave
Ste 204
Mesa, AZ 85206
Phone (480) 730-1844

Practitioners & affiliated clinicians

Practitioners 5

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1891976569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "STE #208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-993-1330",
            "fax_number": "480-993-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "STE #208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-993-1330",
            "fax_number": "480-993-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT NEUROSURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-993-1300"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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