Individual provider Active NPI

Glenn Thomas Ozalan, N.M.D.

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1366509366
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
78-324 Issued in AZ
Practice address
9360 E Raintree Dr
Time4Health Ste #101
Scottsdale, AZ 85260-2099
Phone
(602) 380-5518
Fax
(623) 298-5644
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 78-324 AZ Primary

Addresses

Primary practice location

9360 E Raintree Dr
Time4Health Ste #101
Scottsdale, AZ 85260-2099

Mailing address

2138 W Myrtle Ave
Phoenix, AZ 85021-7770
Phone (602) 380-5518

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

LicenseStateTypeSpecialty
78-324AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1366509366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 W MYRTLE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217770",
            "telephone_number": "602-380-5518",
            "fax_number": "623-298-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 E RAINTREE DR",
            "address_2": "TIME4HEALTH STE #101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602099",
            "telephone_number": "602-380-5518",
            "fax_number": "623-298-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZALAN",
        "first_name": "GLENN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "78-324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.