NPIMap

Organization Active NPI

Leo J Ankenbrandt MD

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1982072096
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3720 Issued in AZ
Legal business name
LEO J ANKENBRANDT MD
Practice address
12801 N 16TH Dr
Phoenix, AZ 85029-2802
Phone
(602) 866-1543
Fax
(602) 866-1543
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Dr. Leo Jerome Ankenbrandt, MD
Title
Sole Proprioter
Phone
(602) 866-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3720 AZ Primary

Addresses

Primary practice location

12801 N 16TH Dr
Phoenix, AZ 85029-2802

Mailing address

12801 N 16TH Dr
Phoenix, AZ 85029-2802
Phone (602) 866-1543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1982072096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292802",
            "telephone_number": "602-866-1543",
            "fax_number": "602-866-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292802",
            "telephone_number": "602-866-1543",
            "fax_number": "602-866-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J ANKENBRANDT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "ANKENBRANDT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "SOLE PROPRIOTER",
        "authorized_official_telephone_number": "602-866-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.