NPIMap

Organization Active NPI

Tri-City Express Care, PLLC

Doing business as FastMed Urgent Care

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1962580118
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OTC3513 Issued in AZ
Legal business name
TRI-CITY EXPRESS CARE, PLLC
Doing business as
FastMed Urgent Care
Practice address
920 E Williams Field Rd
Suite 101
Gilbert, AZ 85295-4880
Phone
(480) 855-9400
Fax
(480) 782-1598
NPI assigned
Nov 2, 2006
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Michael Patrick Dunn, M.D.
Title
Medical Director/Owner
Phone
(480) 545-1413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3513 AZ
Family Medicine Physician 207Q00000X OTC3513 AZ Primary

Addresses

Primary practice location

920 E Williams Field Rd
Suite 101
Gilbert, AZ 85295-4880

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-1413

Other identifiers 1

IdentifierTypeStateIssuer
870445MedicaidAZ

Other names 1

  • FastMed Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 154

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1962580118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-1413",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E WILLIAMS FIELD RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954880",
            "telephone_number": "480-855-9400",
            "fax_number": "480-782-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EXPRESS CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "480-545-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3513",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "OTC3513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870445",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.