Organization Active NPI

A-1 Orthopedic, LLC

  • Orthopaedic Surgery Physician
  • Tempe, AZ
National Provider Identifier
1962788331
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29248 Issued in AZ
Legal business name
A-1 ORTHOPEDIC, LLC
Practice address
2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669
Phone
(480) 299-7908
Fax
(480) 835-1021
NPI assigned
Oct 28, 2011
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Haagen A Diener, MD
Title
President
Phone
(480) 833-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 29248 AZ Primary

Addresses

Primary practice location

2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669

Mailing address

2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669
Phone (480) 299-7908

National Provider Directory

National Provider Directory

Locations

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1962788331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827669",
            "telephone_number": "480-299-7908",
            "fax_number": "480-835-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827669",
            "telephone_number": "480-299-7908",
            "fax_number": "480-835-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 ORTHOPEDIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "DIENER",
        "authorized_official_first_name": "HAAGEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-833-0204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "29248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.