Healthcare Provider Details

I. General information

NPI: 1700460482
Provider Name (Legal Business Name): REGENT HEALTHCARE AT DC RANCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18501 N THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-6087
US

IV. Provider business mailing address

3847 E EXPEDITION WAY
PHOENIX AZ
85050-5483
US

V. Phone/Fax

Practice location:
  • Phone: 480-515-4053
  • Fax: 480-304-9318
Mailing address:
  • Phone: 480-234-9436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWN M MEYER
Title or Position: PRESIDENT
Credential: DC
Phone: 480-234-9436