Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Banner Physician Super Specialists Arizona LLC

Nutrition Education Nutritionist in Glendale, AZ · enumerated 2019 · authorized official Dennis Laraway, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578125738

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Registry record

Entity type Organization (Type 2)

Legal business name Banner Physician Super Specialists Arizona LLC

Parent organization Banner Health

Practice address 5310 W Thunderbird Rd Ste 214, Glendale, AZ, 85306

Phone (602) 865-4480

Enumeration date Jul 8, 2019

Last updated in NPPES Dec 28, 2021

Taxonomy & classification

133NN1002X Nutrition Education Nutritionist Dietary & Nutritional Service Providers Primary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Dennis Laraway

Title Cfo

Phone (602) 747-4000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Banner Physician Super Specialists Arizona LLC?

The NPI for Banner Physician Super Specialists Arizona LLC is 1578125738, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Banner Physician Super Specialists Arizona LLC?

NPPES lists Dennis Laraway (Cfo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-28.