NPIMap

Organization Active NPI

Arizona Spine and Pain Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Chandler, AZ
National Provider Identifier
1972912699
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Practice address
725 S Dobson Rd
Ste 100
Chandler, AZ 85224-5680
Phone
(602) 795-8700
NPI assigned
Aug 6, 2014
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Patrick W Hogan, DONPI 1023209228
Title
Member/Owner
Phone
(026) 795-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

725 S Dobson Rd
Ste 100
Chandler, AZ 85224-5680

Mailing address

20280 N 59TH Ave # 115-617
Glendale, AZ 85308-6850
Phone (026) 795-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150330001716 AZ DME Supplier - Physician - Interventional Pain Management 7214251396 Practice locations: Chandler, AZ

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Arizona Spine and Pain Spec9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20280 N 59th Ave
#115617
Glendale, AZ 85308

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1972912699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE # 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "026-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD",
            "address_2": "STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245680",
            "telephone_number": "602-795-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE AND PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "026-795-8700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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 Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.