Dpmjonesnraz LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0406 Issued in AZ

Legal business name

DPMJONESNRAZ LLC

Practice address

4318 E. Darrel Road
Phoenix, AZ 85040

Phone

(484) 653-7886

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Noland Jones, DPMNPI 1477500387

Title

Owner

Phone

(484) 653-7886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Dpmjonesnraz LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dpmjonesnraz LLC

  • Primary Podiatric Medicine Podiatrist
  • Phoenix, AZ
  • NPI 1932143658
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noland Jones, DPM

  • Primary Podiatric Medicine Podiatrist
  • Phoenix, AZ
  • NPI 1477500387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1922046291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 E. DARREL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "484-653-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 E. DARREL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "484-653-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMJONESNRAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NOLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-653-7886",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dpmjonesnraz LLC
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• Dr Beau a Horner LLC
• Dr Charles Boag PC
• Dr Christopher R Wood PC

• Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.