Organization Active NPI

Donna Prellberg

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1952777948
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DONNA PRELLBERG
Practice address
7245 E Osborn Rd
Suite 4
Scottsdale, AZ 85251-6443
Phone
(602) 294-6719
Fax
(602) 254-2278
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
David Soto
Title
Credentialing Coordinator
Phone
(602) 294-6719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7245 E Osborn Rd
Suite 4
Scottsdale, AZ 85251-6443

Mailing address

7245 E Osborn Rd
Suite 4
Scottsdale, AZ 85251-6443
Phone (602) 294-6719

Other names 1

  • Associated Ophthalmologist Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1952777948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "SUITE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "602-294-6719",
            "fax_number": "602-254-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "SUITE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "602-294-6719",
            "fax_number": "602-254-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA PRELLBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "602-294-6719"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Ophthalmologist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.