Banner Physician Super Specialists Arizona LLC
NPI 1790337665 · Nutrition Education Nutritionist · Mesa, AZ
Banner Physician Super Specialists Arizona LLC is a Nutrition Education Nutritionist organization in Mesa, AZ (NPI 1790337665).
Provider details
- NPI number
- 1790337665
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Banner Physician Super Specialists Arizona LLC's NPI number?
- Banner Physician Super Specialists Arizona LLC's National Provider Identifier (NPI) is 1790337665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Physician Super Specialists Arizona LLC?
- Banner Physician Super Specialists Arizona LLC is classified in the NPPES registry as Nutrition Education Nutritionist (Dietary & Nutritional Service Providers).
- Where is Banner Physician Super Specialists Arizona LLC located?
- Banner Physician Super Specialists Arizona LLC's practice location on file with NPPES is 1450 S Dobson Rd Ste B221, Mesa, AZ 85202-4745.
- What is Banner Physician Super Specialists Arizona LLC's phone number?
- The practice phone number listed in the NPPES registry for Banner Physician Super Specialists Arizona LLC is (480) 827-5370.
- Who is the authorized official for Banner Physician Super Specialists Arizona LLC?
- The authorized official listed on Banner Physician Super Specialists Arizona LLC's NPPES record is Dennis Laraway, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Physician Super Specialists Arizona LLC's NPI active?
- Yes — Banner Physician Super Specialists Arizona LLC's NPI (1790337665) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.