Organization Active NPI

Pierre N. Momjian, DPM, PC

  • Podiatrist
  • Prescott, AZ
National Provider Identifier
1992925317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
512 Issued in AZ
Legal business name
PIERRE N. MOMJIAN, DPM, PC
Practice address
1041 Panicum Dr
Prescott, AZ 86305-3831
Phone
(928) 710-4338
Fax
(928) 776-8623
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pierre N Momjian, D.P.M.
Title
President
Phone
(928) 710-4338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 512 AZ Primary

Addresses

Primary practice location

1041 Panicum Dr
Prescott, AZ 86305-3831

Mailing address

1041 Panicum Dr
Prescott, AZ 86305-3831
Phone (928) 710-4338

National Provider Directory

National Provider Directory

Locations

6718 W Greenway Rd
Ste 101
Peoria, AZ 85381

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992925317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 PANICUM DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053831",
            "telephone_number": "928-710-4338",
            "fax_number": "928-776-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 PANICUM DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053831",
            "telephone_number": "928-710-4338",
            "fax_number": "928-776-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE N. MOMJIAN, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOMJIAN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-710-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.