TADA SOUTHWEST SPINE LLC
NPI 1528662079
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since November 25, 2020
4540 E BASELINE RD STE 119, MESA, AZ 85206(480) 354-2008 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 17, 2020, Nov 25, 2020 (2 updates tracked since 2020).

About Tada Southwest Spine Llc NPPES

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

TADA SOUTHWEST SPINE LLC (NPI 1528662079) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Mesa and lists Scott Taylor, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1528662079
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTADA SOUTHWEST SPINE LLC
Location Address4540 E BASELINE RD STE 119Mesa, AZ 85206-4617
Mailing Address2919 S Ellsworth Rd Ste 102Mesa, AZ 85212-2165 · (480) 354-2008
Organization SubpartNo
Authorized OfficialScott TaylorMember/owner · (480) 354-2008
Enumeration DateNovember 25, 2020
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
NPI 1528662079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgeryTaxonomy 208600000X
4540 E BASELINE RD STE 119, Mesa, AZ 85206

Secondary Practice Location 1

Location 12919 S Ellsworth Rd Ste 109Mesa, AZ 85212-2165 · Phone (480) 354-2008

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

Other Providers at the Same Location NPPES 7

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

Family Medicine
4540 E BASELINE RD STE 119
MESA, AZ 85206
Nurse Practitioner (Family)
4540 E BASELINE RD STE 119
MESA, AZ 85206
Surgery
4540 E BASELINE RD STE 119
MESA, AZ 85206
Surgery
4540 E BASELINE RD STE 119
MESA, AZ 85206
Family Medicine
4540 E BASELINE RD STE 119
MESA, AZ 85206
Family Medicine
4540 E BASELINE RD STE 119
MESA, AZ 85206
Family Medicine
4540 E BASELINE RD STE 119
MESA, AZ 85206

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 Tada Southwest Spine LLC's NPI number?

The NPI number for Tada Southwest Spine LLC is 1528662079. It was assigned to this organization in the NPPES registry on November 25, 2020.

Where is Tada Southwest Spine LLC located?

Tada Southwest Spine LLC is located at 4540 E Baseline Rd Ste 119, Mesa, AZ 85206. The listed phone number is (480) 354-2008.

What is Tada Southwest Spine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Tada Southwest Spine LLC was last updated on December 17, 2020. 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.