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Desert Fountain Medical, Pllc

General Practice Physician in Fountain Hills, AZ · enumerated 2018 · authorized official Grant Andres, Clinic Director.

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

National Provider Identifier

1639686546

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Registry record

Entity type Organization (Type 2)
Legal business name Desert Fountain Medical, Pllc
Practice address 17100 E Shea Blvd Ste 320, Fountain Hills, AZ, 85268
Enumeration date Jan 2, 2018
Last updated in NPPES Jan 2, 2018

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Grant Andres
Title Clinic Director

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.

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Frequently asked questions

What is the NPI number for Desert Fountain Medical, Pllc?
The NPI for Desert Fountain Medical, Pllc is 1639686546, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Desert Fountain Medical, Pllc?
NPPES lists Grant Andres (Clinic Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-02.