NPIMap

Organization Active NPI

East Valley Naturopathic Doctors

  • Naturopath
  • Mesa, AZ
National Provider Identifier
1063689123
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
03766 Issued in AZ
Legal business name
EAST VALLEY NATUROPATHIC DOCTORS
Practice address
5416 E Southern Ave
Ste.110
Mesa, AZ 85206-3622
Phone
(480) 985-0000
Fax
(480) 985-0029
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Alan Porter, NMDNPI 1376690719
Title
Owner
Phone
(480) 985-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 03766 AZ Primary

Addresses

Primary practice location

5416 E Southern Ave
Ste.110
Mesa, AZ 85206-3622

Mailing address

5416 E Southern Ave
Ste.110
Mesa, AZ 85206-3622
Phone (480) 985-0000

National Provider Directory

National Provider Directory

Locations

5416 E Southern Ave
Ste 110
Mesa, AZ 85206
Phone (480) 985-0000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1063689123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 E SOUTHERN AVE",
            "address_2": "STE.110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063622",
            "telephone_number": "480-985-0000",
            "fax_number": "480-985-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 E SOUTHERN AVE",
            "address_2": "STE.110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063622",
            "telephone_number": "480-985-0000",
            "fax_number": "480-985-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY NATUROPATHIC DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-985-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "03766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.