JUPITER MEDICAL SERVICES LLC
NPI 1407418395
Podiatrist - Foot & Ankle Surgery in Peoria, AZ

Active since July 01, 2019
13660 N 94TH DR # D-1, PEORIA, AZ 85381(623) 974-0522 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2019, Jul 1, 2019 (2 updates tracked since 2019).

About Jupiter Medical Services Llc NPPES

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

JUPITER MEDICAL SERVICES LLC (NPI 1407418395) is a healthcare organization registered as a foot & ankle surgery in Peoria, Arizona and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Phoenix and lists Daniel Bangart, Manager, as its authorized official.

NPPES Registry Identity

NPI1407418395
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJUPITER MEDICAL SERVICES LLC
Location Address13660 N 94TH DR # D-1Peoria, AZ 85381-4836
Mailing Address7558 W. Thunderbird Rd., Ste. 1, Box 606Peoria, AZ 85381-4836
Organization SubpartNo
Authorized OfficialDaniel BangartManager · (623) 974-0522
Enumeration DateJuly 1, 2019
Last NPPES UpdateDecember 19, 20192 updates tracked since enumeration
NPI 1407418395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
13660 N 94TH DR # D-1, Peoria, AZ 85381

Secondary Practice Location 1

Location 115650 N Black Canyon Hwy # B-121Phoenix, AZ 85053-4064 · Phone (602) 595-7228

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

Other Providers at the Same Location NPPES 3

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

Pain Medicine (Pain Medicine)
13660 N 94TH DR # D-1
PEORIA, AZ 85381
Surgery (Vascular Surgery)
13660 N 94TH DR # D-1
PEORIA, AZ 85381
Anesthesiology
13660 N 94TH DR # D-1
PEORIA, AZ 85381

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 Jupiter Medical Services LLC's NPI number?

The NPI number for Jupiter Medical Services LLC is 1407418395. It was assigned to this organization in the NPPES registry on July 1, 2019.

Where is Jupiter Medical Services LLC located?

Jupiter Medical Services LLC is located at 13660 N 94th Dr # D-1, Peoria, AZ 85381. The listed phone number is (623) 974-0522.

What is Jupiter Medical Services LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jupiter Medical Services LLC was last updated on December 19, 2019. 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.