Active NPI
Eric R Johnson
- Naturopath
- Phoenix, AZ
National Provider Identifier
1295086528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 12-1322
- Practice address
- 4802 E Ray Rd Ste 23-244
Phoenix, AZ 85044-6405 - Phone
- (480) 729-9589
- NPI assigned
- Sep 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 12-1322 | AZ | Primary |
Addresses
Primary practice location
4802 E Ray Rd Ste 23-244
Phoenix, AZ 85044-6405
Mailing address
4802 E Ray Rd Ste 23-244
Phoenix, AZ 85044-6405
Phone (480) 729-9589
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 |
|---|---|---|---|
| 12-1322 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1295086528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 E RAY RD STE 23-244",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446405",
"telephone_number": "480-729-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 E RAY RD STE 23-244",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446405",
"telephone_number": "480-729-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "12-1322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.