NPIMap

Organization Active NPI

Portable Practical Education Preparation, Inc.

Doing business as Ppep BHS

  • Multi-Specialty Clinic/Center
  • Somerton, AZ
National Provider Identifier
1972999605
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
OTC6417 Issued in AZ
Legal business name
PORTABLE PRACTICAL EDUCATION PREPARATION, INC.
Doing business as
Ppep BHS
Practice address
201 S. Bingham Avenue
Somerton, AZ 85350
Phone
(928) 210-7644
Fax
(520) 792-5724
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. John David Arnold, PHD
Title
Ceo/Founder
Phone
(520) 622-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X OTC6417 AZ Primary

Addresses

Primary practice location

201 S. Bingham Avenue
Somerton, AZ 85350

Mailing address

802 E 46TH St
Tucson, AZ 85713-5006
Phone (520) 792-5704

Other names 1

  • PPEP BHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Portable Prac Ed Prep Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1972999605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135006",
            "telephone_number": "520-792-5704",
            "fax_number": "520-792-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. BINGHAM AVENUE",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "85350",
            "telephone_number": "928-210-7644",
            "fax_number": "520-792-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE PRACTICAL EDUCATION PREPARATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "520-622-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": "OTC6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPEP BHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.