Active NPI
Edwin Nez, LMT
- Massage Therapist
- Phoenix, AZ
National Provider Identifier
1902454994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-21241
- Practice address
- 2701 N 7TH St
Phoenix, AZ 85006-1004 - Phone
- (602) 307-0888
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-21241 | AZ | Primary |
Addresses
Primary practice location
2701 N 7TH St
Phoenix, AZ 85006-1004
Mailing address
2942 N 24TH St Ste 209
Phoenix, AZ 85016-7850
Phone (480) 285-5581
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 4802855581 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-21241 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Medicine and Detox Inc. | Single Specialty | Current | Accepting new patients |
| Natural Medicine and Detox Inc. | Single Specialty | Current | Accepting new patients |
Locations
2701 N 7th St
Phoenix, AZ 85006
Phone (602) 279-5288
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1902454994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 N 24TH ST STE 209",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167850",
"telephone_number": "480-285-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061004",
"telephone_number": "602-307-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZ",
"first_name": "EDWIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-21241",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "4802855581",
"affiliation": "N",
"endpointDescription": "Cell phone line",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2701 N 7th St",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850061004",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.