Individual provider Active NPI

Jennifer K. Dais, M.D.

  • Interventional Pain Medicine Physician
  • Peoria, AZ
National Provider Identifier
1982982591
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
52011 Issued in AZ
Practice address
9242 W Union Hills Dr BLDG D100-101
Peoria, AZ 85382-8218
Phone
(602) 644-7004
Fax
(602) 644-7003
NPI assigned
Jul 31, 2011
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X TP1-0052120 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X 52011 AZ
Interventional Pain Medicine Physician 208VP0014X 52011 AZ Primary

Addresses

Primary practice location

9242 W Union Hills Dr BLDG D100-101
Peoria, AZ 85382-8218

Mailing address

9242 W Union Hills Dr Ste 100-101
Peoria, AZ 85382-8218
Phone (602) 644-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001667 AZ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3779873682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Arizona College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9242 W Union Hills Dr
Suite 100 101
Peoria, AZ 85383-8219
Phone (602) 644-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP1-0052120TXMDPain Medicine (Anesthesiology) Physician
52011AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Centers Nationwide, PC CurrentSince Oct 1, 2018 Accepting new patients
Premier Pain & Wellness Pain Medicine CurrentSince Apr 17, 2023 Accepting new patients
Susan del Sordi Staats, DO PLLC PastSince Jul 17, 2022 Accepting new patients
Red Butte Healthcare Interventional Pain Medicine PastSince Oct 10, 2017 Accepting new patients

Locations

8877 W Union Hills Dr
Ste 200
Peoria, AZ 85382
Phone (623) 776-8686

9242 W Union Hills Dr
Peoria, AZ 85382

9242 W Union Hills Dr
Bldg D100101
Peoria, AZ 85382
Phone (480) 889-0180

9242 W Union Hills Dr
Ste 100
Peoria, AZ 85382
Phone (602) 795-0207

9242 W Union Hills Dr
Ste 100101
Peoria, AZ 85382
Phone (602) 644-7004

9242 W Union Hills Dr
Ste 100AND101
Peoria, AZ 85382

10930 N Tatum Blvd
Ste 103
Phoenix, AZ 85028
Phone (602) 263-7600

11209 N Tatum Blvd
Ste 160
Phoenix, AZ 85028
Phone (480) 285-2180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFBFCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1982982591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 W UNION HILLS DR STE 100-101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828218",
            "telephone_number": "602-644-7004",
            "fax_number": "602-644-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9242 W UNION HILLS DR BLDG D100-101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828218",
            "telephone_number": "602-644-7004",
            "fax_number": "602-644-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIS",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "TP1-0052120",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "52011",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "52011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.