CLEAN COLONIC FAMILY PRACTICE
NPI 1003492158
Family Medicine in Phoenix, AZ

Q: What is Clean Colonic Family Practice's NPI number?

The NPI number for Clean Colonic Family Practice is 1003492158. It was assigned to this organization in the NPPES registry on March 19, 2021.

Q: What is Clean Colonic Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 19, 2021

4744 E THUNDERBIRD RD STE 4, PHOENIX, AZ 85032(480) 269-5575 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clean Colonic Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAN COLONIC FAMILY PRACTICE (NPI 1003492158) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since March 2021. The organization maintains 2 additional practice locations and lists Carolyn Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1003492158

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLEAN COLONIC FAMILY PRACTICE

Location Address4744 E THUNDERBIRD RD STE 4Phoenix, AZ 85032-5577

Mailing Address4744 E Thunderbird Rd Ste 4Phoenix, AZ 85032-5577 · (480) 269-5575

Phone(480) 269-5575

Organization SubpartNo

Authorized OfficialCarolyn BerryOwner · (480) 269-5575

Enumeration DateMarch 19, 2021

NPPES CertifiedMarch 19, 2021

✔ NPI 1003492158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4744 E THUNDERBIRD RD STE 4, Phoenix, AZ 85032

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Secondary Practice Locations 2

Location 12034 E Southern Ave Ste BTempe, AZ 85282-7511 · Phone (480) 269-5575

Location 216718 E Avenue Of The Fountains Ste 100Fountain Hills, AZ 85268-4165 · Phone (480) 269-5575

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clean Colonic Family Practice's NPI number?

The NPI number for Clean Colonic Family Practice is 1003492158. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Clean Colonic Family Practice located?

Clean Colonic Family Practice is located at 4744 E Thunderbird Rd Ste 4, Phoenix, AZ 85032. The listed phone number is (480) 269-5575.

What is Clean Colonic Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clean Colonic Family Practice was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.