DFDV HEALTH AND WELLNESS LLC
NPI 1689367112
Family Medicine in Mesa, AZ

Active since May 31, 2023
4540 E BASELINE RD STE 119, MESA, AZ 85206(480) 628-2296 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dfdv Health And Wellness Llc NPPES

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

DFDV HEALTH AND WELLNESS LLC (NPI 1689367112) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since May 2023. The organization lists David Farnsworth, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1689367112
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDFDV HEALTH AND WELLNESS LLC
Location Address4540 E BASELINE RD STE 119Mesa, AZ 85206-4617
Mailing Address4540 E Baseline Rd Ste 119Mesa, AZ 85206-4617 · (480) 628-2296
Organization SubpartNo
Authorized OfficialDavid FarnsworthAuthorized Official · (480) 628-2296
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1689367112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4540 E BASELINE RD STE 119, Mesa, AZ 85206

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dfdv Health And Wellness 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 Dfdv Health And Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1669975876
3608 E DESERT MOON TRL
San Tan Valley, AZ 85143
(480) 677-4240
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1871033001
4824 ALBERTA AVE STE 403
El Paso, TX 79905
(915) 544-1200
✔ PECOS✔ Accepts Medicare329 mi

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 Dfdv Health And Wellness LLC's NPI number?

The NPI number for Dfdv Health And Wellness LLC is 1689367112. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Dfdv Health And Wellness LLC located?

Dfdv Health And Wellness LLC is located at 4540 E Baseline Rd Ste 119, Mesa, AZ 85206. The listed phone number is (480) 628-2296.

What is Dfdv Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dfdv Health And Wellness LLC enrolled in Medicare?

Yes. Dfdv Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dfdv Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dfdv Health And Wellness 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 Dfdv Health And Wellness LLC was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.