HEAVENLY SOLES PLLC NPI 1114342169

NPI Information

NPI: 1114342169
Provider Name: HEAVENLY SOLES PLLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
13954 W WADDELL RD
SUITE 307
SURPRISE, AZ
ZIP 85379
Phone: (623) 584-0760
Get Directions

HEAVENLY SOLES PLLC is a primary podiatric medicine podiatrist in Surprise, AZ. HEAVENLY SOLES PLLC NPI is 1114342169. The provider is registered as an organization entity type.

The provider's business location address is:

13954 W WADDELL RD
SUITE 307
SURPRISE, AZ
ZIP 85379-750
Phone: (623) 584-0760
Fax: (623) 546-0344

The provider's authorized official is Marie C Paul .
The authorized official title is Manager and has the following contact phone number (623) 584-0760.

The enumeration date for this NPI number is 2/27/2014 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	0711	ARIZONA	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	0711	ARIZONA	No
3	311500000X	Alzheimer Center (Dementia Center)		0711	ARIZONA	No
4	311ZA0620X	Custodial Care Facility	Adult Care Home	0711	ARIZONA	No
5	313M00000X	Nursing Facility/Intermediate Care Facility		0711	ARIZONA	No
6	213EP1101X	Podiatrist	Primary Podiatric Medicine	0711	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »