Red Mountain Interventional Pain, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RED MOUNTAIN INTERVENTIONAL PAIN, LLC

Practice address

1831 E Queen Creek Rd
Chandler, AZ 85286-2019

Phone

(480) 292-8542

Fax

(480) 292-8534

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Hamblen Dean Fuller

Title

Manager

Phone

(602) 793-0310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1962994822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-292-8542",
            "fax_number": "480-292-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-292-8542",
            "fax_number": "480-292-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN INTERVENTIONAL PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "HAMBLEN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-793-0310"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Rector
• Red Butte Healthcare
• Valerie Red Cloud, LBSW
• Red Mountain Cardiothoracic Surgeons PC
• Red Mountain Interventional Center LLC
• Red Mountain Treatment Center PLLC
• Red Mountain Weight Loss Chandler, LLC
• Red Rock Family Dentistry, LTD.
• Malika Reddy, DPM
• Naveen Reddy, MD

• Ambulatory Surgical Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.