David Longeval Hamilton Jr., ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

099.0099012 Issued in VT

Practice address

6236 S 10TH St
Phoenix, AZ 85042-4312

Phone

(757) 871-1880

NPI assigned

Dec 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Of the Earth Wellness

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1831528207
  NPD (past) Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1174954986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424312",
            "telephone_number": "757-871-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424312",
            "telephone_number": "757-871-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DAVID",
        "middle_name": "LONGEVAL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0099012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syma Aqdus Hamidi, M.D.
• Alexander Hamill, DO
• Keri Lynn Hamill, LPN
• Alexandria Hamilton, APRN
• Darlene Lauren Hamilton
• Gillian Hamilton, MD,PHD
• Ja'Nae Aleice Hamilton, LAC
• Jan Hamilton, PMHNP
• Jessica Hamilton
• Julie Hamilton

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.