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DR. DAJAMEN SEMARD MITCHELL DO
NPI 1053164517
Student in an Organized Health Care Education/Training Program in Chandler, AZ

Active since April 05, 2024PECOS Enrolled
1955 W FRYE RD, CHANDLER, AZ 85224(480) 728-3000 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dajamen Semard Mitchell Do NPPES

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

DR. DAJAMEN SEMARD MITCHELL DO (NPI 1053164517) is an individual student in an organized health care education/training program in Chandler, Arizona and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053164517
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAJAMEN SEMARD MITCHELLCredential: DO
Location Address1955 W FRYE RDChandler, AZ 85224-6282
Mailing Address1955 W Frye RdChandler, AZ 85224-6282 · (480) 728-3000
Phone(480) 728-3000
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1053164517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1955 W FRYE RD, Chandler, AZ 85224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dajamen Semard Mitchell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH ELIZABETH ALLEN CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 963-4561
REBECCA ROBERTS
Emergency Medicine
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000
DR. KHOA DANG LE M. D.
Anesthesiology
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-8000
KEYAN JALILI DO
Anesthesiology
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000
NATALIE VAN WAGONER GNEITING DO
Student in an Organized Health Care Education/Training Program
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000
DR. FERNANDO RESENDEZ RIVERA MD
Student in an Organized Health Care Education/Training Program
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000
MICHELLE ANN RAMOS RN
Registered Nurse (General Practice)
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000
MS. JAUNA ELIZABETH MAZZOCCO
Registered Nurse (Critical Care Medicine)
1955 W FRYE RD
CHANDLER, AZ 85224
Maricopa County (480) 728-3000

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 Dajamen Mitchell's NPI number?

The NPI number for Dajamen Mitchell is 1053164517. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Dajamen Mitchell located?

Dajamen Mitchell practices at 1955 W Frye Rd, Chandler, AZ 85224. The listed phone number is (480) 728-3000.

What is Dajamen Mitchell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dajamen Mitchell enrolled in Medicare?

Yes. Dajamen Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dajamen Mitchell was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.