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DESERT FOUNTAIN MEDICAL, PLLC
NPI 1639686546
General Practice in Fountain Hills, AZ

Active since January 02, 2018
17100 E SHEA BLVD STE 320, FOUNTAIN HILLS, AZ 85268(480) 816-8300 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Fountain Medical, Pllc NPPES

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

DESERT FOUNTAIN MEDICAL, PLLC (NPI 1639686546) is a healthcare organization registered as a general practice in Fountain Hills, Arizona and active in the NPI registry since January 2018. The organization lists Grant Andres, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1639686546
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDESERT FOUNTAIN MEDICAL, PLLC
Location Address17100 E SHEA BLVD STE 320Fountain Hills, AZ 85268-6654
Mailing Address17100 E Shea Blvd Ste 320Fountain Hills, AZ 85268-6654
Phone(480) 816-8300
Organization SubpartNo
Authorized OfficialGrant AndresClinic Director · (480) 816-8300
Enumeration DateJanuary 2, 2018
✔ NPI 1639686546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17100 E SHEA BLVD STE 320, Fountain Hills, AZ 85268
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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 2

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

DESERT FOUNTAIN MEDICAL INC
General Practice
17100 E SHEA BLVD STE 320
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 816-8300
GRANT ANDRES DC
Chiropractor
17100 E SHEA BLVD STE 320
FOUNTAIN HILLS, AZ 85268
Maricopa County (480) 816-8300

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 Desert Fountain Medical, PLLC's NPI number?

The NPI number for Desert Fountain Medical, PLLC is 1639686546. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is Desert Fountain Medical, PLLC located?

Desert Fountain Medical, PLLC is located at 17100 E Shea Blvd Ste 320, Fountain Hills, AZ 85268. The listed phone number is (480) 816-8300.

What is Desert Fountain Medical, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Desert Fountain Medical, PLLC was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.