Active NPI
Banner Surgery Centers
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
National Provider Identifier
1922043231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC 3816
- Legal business name
- BANNER SURGERY CENTERS
- Practice address
- 525 W Brown Rd
Mesa, AZ 85201-3202 - Phone
- (480) 684-5000
- NPI assigned
- Jun 19, 2006
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis E Dahlen
- Title
- Sr Vice President Finance
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OSC 3816 | AZ | Primary |
Addresses
Primary practice location
525 W Brown Rd
Mesa, AZ 85201-3202
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
Locations
1111 E McDowell Rd
#B
Phoenix, AZ 85006
Phone (602) 239-2004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353456000000",
"number": "1922043231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852013202",
"telephone_number": "480-684-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER SURGERY CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2006-06-19",
"last_updated": "2012-11-21",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AZ",
"license": "OSC 3816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Banner Physician Super Specialists Arizona LLC
- Banner Physician Super Specialists Arizona LLC
- Banner Primary Care Physicians Arizona LLC
- Banner Primary Care Physicians Arizona LLC
- Banner School Based Clinic
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.