DANJER BLAZE REIGN LLC
NPI 1609610666
Clinic/Center in San Tan Valley, AZ

Active since June 24, 2024
530 E HUNT HWY STE 130 PMB #493, SAN TAN VALLEY, AZ 85143(480) 256-2958 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Danjer Blaze Reign Llc NPPES

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

DANJER BLAZE REIGN LLC (NPI 1609610666) is a healthcare organization registered as a clinic/center in San Tan Valley, Arizona and active in the NPI registry since June 2024. The organization lists Danielle Sears, Owner, as its authorized official.

NPPES Registry Identity

NPI1609610666
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDANJER BLAZE REIGN LLC
Location Address530 E HUNT HWY STE 130 PMB #493San Tan Valley, AZ 85143-6581
Mailing Address530 E Hunt Hwy Ste 130 Pmb #493San Tan Valley, AZ 85143-6581 · (480) 256-2958
Organization SubpartNo
Authorized OfficialDanielle SearsOwner · (602) 615-0876
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1609610666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danjer Blaze Reign Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Danjer Blaze Reign LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1548825656
14678 N DEL WEBB BLVD
Sun City, AZ 85351
(623) 933-8289
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1174279509
16515 S 40TH ST STE 143
Phoenix, AZ 85048
(602) 615-0876
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Danjer Blaze Reign LLC's NPI number?

The NPI number for Danjer Blaze Reign LLC is 1609610666. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Danjer Blaze Reign LLC located?

Danjer Blaze Reign LLC is located at 530 E Hunt Hwy Ste 130 Pmb #493, San Tan Valley, AZ 85143. The listed phone number is (480) 256-2958.

What is Danjer Blaze Reign LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Danjer Blaze Reign LLC enrolled in Medicare?

Yes. Danjer Blaze Reign LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Danjer Blaze Reign LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Danjer Blaze Reign LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Danjer Blaze Reign LLC was last updated on June 24, 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.