Active NPI
True Diabetes Neuropathy & Wound Solutions Az LLC
- General Practice Physician
- Show Low, AZ
National Provider Identifier
1912699240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- TRUE DIABETES NEUROPATHY & WOUND SOLUTIONS AZ LLC
- Practice address
- 5171 S Cub Lake Rd Ste C330
Show Low, AZ 85901-7997 - Phone
- (928) 243-0348
- Fax
- (928) 328-1288
- NPI assigned
- May 24, 2023
- Last updated
- Feb 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Smith
- Title
- Chief Information Officer
- Phone
- (480) 740-1910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
5171 S Cub Lake Rd Ste C330
Show Low, AZ 85901-7997
Mailing address
5171 S Cub Lake Rd Ste C330
Show Low, AZ 85901-7997
Phone (928) 243-0348
Other practice location 1
4828 S Val Vista Dr
Gilbert, AZ 85298-7323
Phone (480) 550-8767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366183212 | Other | AZ | NPI |
| 1598314247 | Other | AZ | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Surprise, AZ
- NPI 1417072109
-
- Family Nurse Practitioner
- Show Low, AZ
- NPI 1497145841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1912699240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5171 S CUB LAKE RD STE C330",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017997",
"telephone_number": "928-243-0348",
"fax_number": "480-977-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S CUB LAKE RD STE C330",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017997",
"telephone_number": "928-243-0348",
"fax_number": "928-328-1288"
}
],
"practiceLocations": [
{
"address_1": "4828 S Val Vista Dr",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852987323",
"country_code": "US",
"telephone_number": "480-550-8767",
"fax_number": "480-977-1138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRUE DIABETES NEUROPATHY & WOUND SOLUTIONS AZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
"authorized_official_telephone_number": "480-740-1910"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1366183212",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1598314247",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
- Timber Mesa Fire and Medical District
- Rhonda Michelle Tinkham, RRT
- TLC Supported Living Services of Az, Inc
- Stacy Anne Townsend, CRNA
- Cameron Tregaskes, D.O.
- Dax K Trujillo, MD
- Ultrasound Specialties, LLC
- University OB-GYN, LLC
- Deeadra Lynania Ursin-Zachary, CRANIAL PROTHESIS
- Katherine Varga, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.