Clean Colonic Family Practice
NPI 1003492158 · Family Medicine Physician · Phoenix, AZ
Clean Colonic Family Practice is a Family Medicine Physician organization in Phoenix, AZ (NPI 1003492158).
Provider details
- NPI number
- 1003492158
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Berry, Owner(480) 269-5575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 16718 E Avenue of the Fountains Ste 100Fountain Hills, AZ 85268-4165Phone: (480) 269-5575
- 2034 E Southern Ave Ste BTempe, AZ 85282-7511Phone: (480) 269-5575
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Frequently asked questions
- What is Clean Colonic Family Practice's NPI number?
- Clean Colonic Family Practice's National Provider Identifier (NPI) is 1003492158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clean Colonic Family Practice?
- Clean Colonic Family Practice is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clean Colonic Family Practice located?
- Clean Colonic Family Practice's practice location on file with NPPES is 4744 E Thunderbird Rd Ste 4, Phoenix, AZ 85032-5577.
- What is Clean Colonic Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Clean Colonic Family Practice is (480) 269-5575.
- Who is the authorized official for Clean Colonic Family Practice?
- The authorized official listed on Clean Colonic Family Practice's NPPES record is Carolyn Berry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clean Colonic Family Practice's NPI active?
- Yes — Clean Colonic Family Practice's NPI (1003492158) is active in the NPPES registry as of the last update on 2021-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.