Desert Pain and Rehab Specialists

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DESERT PAIN AND REHAB SPECIALISTS

Practice address

2005 Highway 60
Globe, AZ 85501-9601

Phone

(925) 425-8273

Fax

(928) 425-3066

NPI assigned

Jun 5, 2018

Last updated

Nov 6, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

DESERT PAIN AND REHAB SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Herbert Goodman, MD

Title

Provider / Owner

Phone

(602) 944-2222

Specialties & licenses 1

Addresses

Part of

Desert Pain and Rehab Spec

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Desert Pain and Rehab Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
  • NPI 1457416414
  NPPES parent name

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1922590975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-944-2222",
            "fax_number": "602-331-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 60",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019601",
            "telephone_number": "925-425-8273",
            "fax_number": "928-425-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PAIN AND REHAB SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT PAIN AND REHAB SPECIALISTS",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "602-944-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Scott Dal Molin, D.C.
• Jennifer Lyn Davis, LPN
• Natalija De Retana, AGNP
• Desert Oasis Wellness Center, PLLC
• Desert Ophthalmology, P.C.
• Destiny School Inc.
• Diamond Dental Globe LLC
• Diamond M Dental Associates, LLC
• Helen Dike
• Cassidy Lorraine Ducray, APRN

• Durable Medical Equipment & Medical Supplies in Globe, AZ
• Providers in Globe, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.