Provider Demographics
NPI:1104283993
Name:CONNECTED MEDICAL CENTER PLLC
Entity type:Organization
Organization Name:CONNECTED MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:P
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-526-0404
Mailing Address - Street 1:4940 E ALTADENA AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4627
Mailing Address - Country:US
Mailing Address - Phone:480-526-0404
Mailing Address - Fax:480-718-8338
Practice Address - Street 1:10701 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6720
Practice Address - Country:US
Practice Address - Phone:480-526-0404
Practice Address - Fax:480-718-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty