Active NPI
Jennifer K. Dais, M.D.
- Interventional Pain Medicine Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 52011
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TP1-0052120 | TX | MD | Pain Medicine (Anesthesiology) Physician |
| 52011 | AZ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Centers Nationwide, PC | Current | Accepting new patients | |
| Premier Pain & Wellness | Pain Medicine | Current | Accepting new patients |
| Susan del Sordi Staats, DO PLLC | Past | Accepting new patients | |
| Red Butte Healthcare | Interventional Pain Medicine | Past | 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
- https://fhir4.healow.com/fhir/r4/AEEGCA
- 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.
-
- Pain Medicine Physician
- Peoria, AZ
- NPI 1457035370
-
- Physical Medicine & Rehabilitation Physician
- Peoria, AZ
- NPI 1053366989
-
dba Red Butte Pain Solutions
- Interventional Pain Medicine Physician
- Chandler, AZ
- NPI 1720659048
-
dba Essential Family Health & Wellness
- Family Medicine Physician
- Phoenix, AZ
- NPI 1649776105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.