OrganizationActive
Dessalines Sports Medicine, LLC
NPI 1407321581 · Clinic/Center · Mesa, AZ
Dessalines Sports Medicine, LLC is a Clinic/Center organization in Mesa, AZ (NPI 1407321581).
Provider details
- NPI number
- 1407321581
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Peterson, Doctor(480) 634-4606
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Phone: (480) 634-4606
Street-level locationGet directions
Mailing address
6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2018-10-04
Frequently asked questions
- What is Dessalines Sports Medicine, LLC's NPI number?
- Dessalines Sports Medicine, LLC's National Provider Identifier (NPI) is 1407321581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dessalines Sports Medicine, LLC?
- Dessalines Sports Medicine, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dessalines Sports Medicine, LLC located?
- Dessalines Sports Medicine, LLC's practice location on file with NPPES is 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750.
- What is Dessalines Sports Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dessalines Sports Medicine, LLC is (480) 634-4606.
- Who is the authorized official for Dessalines Sports Medicine, LLC?
- The authorized official listed on Dessalines Sports Medicine, LLC's NPPES record is Charles Peterson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dessalines Sports Medicine, LLC's NPI active?
- Yes — Dessalines Sports Medicine, LLC's NPI (1407321581) is active in the NPPES registry as of the last update on 2018-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.