MEDSPA BY SOUL SURGERY, LLC
NPI 1184104812
Clinic/Center - Rehabilitation, Substance Use Disorder in Scottsdale, AZ

Q: What is Medspa By Soul Surgery, LLC's NPI number?

The NPI number for Medspa By Soul Surgery, LLC is 1184104812. It was assigned to this organization in the NPPES registry on August 21, 2018.

Q: What is Medspa By Soul Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since August 21, 2018

14362 N FRANK LLOYD WRIGHT BLVD STE B109, SCOTTSDALE, AZ 85260(480) 912-3105(480) 912-3106 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2020, Oct 4, 2019, Aug 21, 2018 (3 updates tracked since 2018).

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About Medspa By Soul Surgery, Llc NPPES

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

MEDSPA BY SOUL SURGERY, LLC (NPI 1184104812) is a healthcare organization registered as a rehabilitation, substance use disorder in Scottsdale, Arizona and active in the NPI registry since August 2018. The organization lists Regina Shakespeare, Billing Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1184104812

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameMEDSPA BY SOUL SURGERY, LLC

Location Address14362 N FRANK LLOYD WRIGHT BLVD STE B109Scottsdale, AZ 85260-8881

Mailing Address14362 N Frank Lloyd Wright Blvd Ste B109Scottsdale, AZ 85260-8881 · (480) 912-3105 · Fax (480) 912-3106

Phone(480) 912-3105

Fax(480) 912-3106

Organization SubpartNo

Authorized OfficialRegina ShakespeareBilling Compliance Officer · (928) 554-5633

Enumeration DateAugust 21, 2018

Last NPPES UpdateJanuary 31, 20203 updates tracked since enumeration

✔ NPI 1184104812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedInternal MedicineTaxonomy 207R00000X · License XT4080190 (AZ)

14362 N FRANK LLOYD WRIGHT BLVD STE B109, Scottsdale, AZ 85260

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Medspa By Soul Surgery, LLC's NPI number?

The NPI number for Medspa By Soul Surgery, LLC is 1184104812. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Medspa By Soul Surgery, LLC located?

Medspa By Soul Surgery, LLC is located at 14362 N Frank Lloyd Wright Blvd Ste B109, Scottsdale, AZ 85260. The listed phone number is (480) 912-3105.

What is Medspa By Soul Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Medspa By Soul Surgery, LLC was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.