Island Dream Devlopment LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ISLAND DREAM DEVLOPMENT LLC

Practice address

10339 N Scottsdale Rd
Scottsdale, AZ 85253-1426

Phone

(515) 338-0095

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Farhoud Khosravi, DONPI 1285874362

Title

Medical Director

Phone

(515) 338-0095

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Farhoud Khosravi, D.O.

  • Gastroenterology Physician
  • Palmer, AK
  • NPI 1285874362
  NPD Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1922767607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531426",
            "telephone_number": "515-338-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DREAM DEVLOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVI",
        "authorized_official_first_name": "FARHOUD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "515-338-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fk@shavitig.com",
            "affiliation": "N",
            "address_1": "10331 N Scottsdale Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jillian Irwin, LMFT
• Alan Jay Isaacson, R.PH.
• Alyssa Kara Ishimoto, MD
• Irma Iskandar, D.M.D., M.S.
• Mohammad Raqibul Islam, M.D.
• Angel Patricio Islas Canales, PT
• Nazifa Ismail, NP
• Sagal Ismail
• Zahra Ispahany, CNM
• Joanna Nguyen Israel, D.O.

• Multi-Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.