NPIMap

Organization Active NPI

Sports Medicine Express PLLC

  • Clinic/Center
  • Chandler, AZ
National Provider Identifier
1972832707
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPORTS MEDICINE EXPRESS PLLC
Practice address
2875 W Ray Rd
Suite 8
Chandler, AZ 85224-3524
Phone
(480) 726-3440
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Matthew Shores, M.D.
Title
Physician
Phone
(480) 726-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2875 W Ray Rd
Suite 8
Chandler, AZ 85224-3524

Mailing address

2875 W Ray Rd
Suite 6, Box #405
Chandler, AZ 85224-3524
Phone (480) 726-3440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1972832707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD",
            "address_2": "SUITE 6, BOX #405",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-726-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD",
            "address_2": "SUITE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-726-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE EXPRESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-726-3440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.