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Daniel Fowler

Physician β€’ Tucson, AZ

Active NPI 1740865807 Individual Practitioner Male Practitioner
Practice location in NPPES

3238 S Lakeside Ridge Loop
Tucson, AZ 857302700

Call 5209711398 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3238 S Lakeside Ridge Loop

Tucson, AZ 857302700

Telephone 5209711398
Organization at the Same NPPES Address or Phone
The Devereux Foundation Facility NPI 1306939368

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-03
Community Based Residential Treatment Facility, Mental Illness Primary Specialty

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Respite Care

NUCC Taxonomy Code: 385H00000X

License # reported to NPPES AZ BH6623
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Az Dept Of Health Services
BH6623 (AZ)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 03, 2024

Registered at 3238 S LAKESIDE RIDGE LOOP, TUCSON, AZ 857302700 (Tel: 5209711398)

πŸ“
Updated Business Mailing Address September 03, 2024

Registered at 4000 N CENTRAL AVE STE 100, PHOENIX, AZ 850123520 (Tel: 6028597794)

βœ…
NPI Profile Active March 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 10, 2021

Registered at 2788 N BELL HOLLOW PL, TUCSON, AZ 857458741 (Tel: 5209711398)

πŸ“
Business Mailing Address (Initial Record) March 10, 2021

Registered at 2788 N BELL HOLLOW PL, TUCSON, AZ 857458741

πŸ‘€
Provider Name / Credentials (Initial Record) March 10, 2021

Recorded as DANIEL FOWLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Respite Care (license number reported to NPPES: AZ BH6623)

🟒
Initial NPI Registration & Enumeration March 10, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740865807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2021
Last Update: September 03, 2024
Sole Proprietor: Yes

Mailing Address

4000 N Central Ave Ste 100

Phoenix, AZ 850123520

Phone: 6028597794

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.