TRIAD CLINIC PLLC
TRIAD CLINIC PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174857791, based in Glendale, AZ. The organization lists 2 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 4902 W IRONWOOD DR, Glendale, AZ 85302. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AP2115 | AZ | Family Nurse Practitioner primary |
| 3175 | AZ | General Practice Physician |
This provider holds licence AP2115 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | AP2115 | AZ | primary |
| 208D00000X | General Practice Physician | 3175 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1174857791 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 29, 2009 |
| Last updated | Nov 4, 2010 |
| Status | Active |
| Practice address |
4902 W IRONWOOD DR Glendale, AZ 85302 (602) 667-4636 Fax (480) 247-5551 |
| Mailing address |
5350 W BELL RD SUITE C-122-417 Glendale, AZ 85308 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 7 | 4 | 8 | 5 | 7 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 5 | 4 | 7 | 5 | 5 | 7 | 9 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.