Active NPI
Wheelie Wav, Inc
- Non-emergency Medical Transport (VAN)
- Phoenix, AZ
National Provider Identifier
1962096917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WHEELIE WAV, INC
- Practice address
- 3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616 - Phone
- (480) 442-1774
- NPI assigned
- Feb 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Seroka
- Title
- President
- Phone
- (520) 340-8157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Mailing address
3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Phone (480) 442-1774
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613865600000",
"number": "1962096917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N CENTRAL AVE STE 183",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123616",
"telephone_number": "480-442-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 N CENTRAL AVE STE 183",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123616",
"telephone_number": "480-442-1774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEELIE WAV, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A",
"authorized_official_last_name": "SEROKA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-340-8157",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"address_1": "3900 W Shira St",
"city": "Eloy",
"state": "AZ",
"country_code": "US",
"postal_code": "851311412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.