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NPI · 1790337665 · NPPES-sourced

Banner Physician Super Specialists Arizona LLC

ActiveNutrition Education Nutritionist
NPI Number
1790337665
Type 2 · Organisation
Taxonomy Code
133NN1002X
Contact
(480) 827-5370
Primary practice line
Last Updated
About 4 years ago (Dec 2021)
Enumerated 2019-07-11
Primary practice addressAZ · 85202-4745
1450 S Dobson Rd Ste B221Mesa, AZ 85202-4745
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About this NPIWhat this record shows.

NPI 1790337665 is registered to Banner Physician Super Specialists Arizona LLC, a healthcare organisation classified as "Nutrition Education Nutritionist" and located at 1450 S Dobson Rd Ste B221 in Mesa, Arizona. The organisation's authorised official is Dennis Laraway. The organisation has been enumerated in the NPI registry since 2019.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2019-07-11
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Banner Physician Super Specialists Arizona LLC accepts. To confirm in-network status with your specific health plan, contact Banner Physician Super Specialists Arizona LLC directly at (480) 827-5370.

Frequently asked

Yes. NPI 1790337665 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nutrition Education Nutritionist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (480) 827-5370.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Banner Physician Super Specialists Arizona LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy133NN1002X
Last updated2021-12
Enumerated2019-07-11
StatusActive
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