Active NPI
David Frederick, N.M.D.
- Naturopath
- Phoenix, AZ
National Provider Identifier
1275943987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 14-1434
- Practice address
- 1815 E Georgia Ave
Phoenix, AZ 85016-3313 - Phone
- (602) 421-2129
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 14-1434 | AZ | Primary |
| Naturopath | 175F00000X | 099.0102679 | VT |
Addresses
Primary practice location
1815 E Georgia Ave
Phoenix, AZ 85016-3313
Mailing address
1815 E Georgia Ave
Phoenix, AZ 85016-3313
Phone (602) 421-2129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-1434 | AZ | MD | Naturopath |
| 099.0102679 | VT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1275943987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 E GEORGIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163313",
"telephone_number": "602-421-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E GEORGIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163313",
"telephone_number": "602-421-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "N.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "14-1434",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "VT",
"license": "099.0102679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Sara Beth Freberg, PT
- Joseph G Frechen, MD
- Fred D. Holmes, M.D., a Professional Corporation
- Fred Schofield PC (Atlas Chiropractic Center)
- Christina Irene Fredenberg, M.D.
- Joyce Time Fredericks
- Jessica Jeannette Frederickson, PHARMD
- Melanie Ann Frederixon, NP-C
- Jefferson Fredy, PHARM.D.
- Free Spirit Home Health, Inc. (Aasta Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.