Seville Family Physicians

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SEVILLE FAMILY PHYSICIANS

Practice address

3336 E Chandler Heights Rd
BLDG. a, Suite 101
Gilbert, AZ 85297-4259

Phone

(480) 512-5900

NPI assigned

Jun 19, 2006

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Dahlen

Title

Sr Vice President

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

M E Lee MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1972548212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD",
            "address_2": "BLDG. A, SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974259",
            "telephone_number": "480-512-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVILLE FAMILY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972845",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ellice Settles, PTA
• Randall James Severance, M.D.
• Kristen Cathleen Severson, DPT
• Seville Eye Center LLC
• Seville Family Dentistry PLC
• Jasmine Sewell-Cunningham
• Ritchey Noele Sewell, RPH
• Sexual Health Experts
• Kelly Marie Sezate, NP
• SGL Holdings LLC

• Primary Care Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.