Individual provider Active NPI

Amoz Isaac Van Dyke, ND

  • Naturopath
  • Tempe, AZ
National Provider Identifier
1427429950
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
16-1601 Issued in AZ
Practice address
2152 E Broadway Rd
Tempe, AZ 85282-1751
Phone
(480) 422-1662
Fax
(480) 970-0003
NPI assigned
Oct 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 16-1601 AZ Primary

Addresses

Primary practice location

2152 E Broadway Rd
Tempe, AZ 85282-1751

Mailing address

2140 E Sanos Dr
Tempe, AZ 85281-7427
Phone (480) 289-1566

Other practice location 1

3670 Stone Way N
Seattle, WA 98103-8004
Phone (206) 834-4100

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
16-1601AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427429950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E SANOS DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817427",
            "telephone_number": "480-289-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821751",
            "telephone_number": "480-422-1662",
            "fax_number": "480-970-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038004",
            "country_code": "US",
            "telephone_number": "206-834-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "AMOZ",
        "middle_name": "ISAAC",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "16-1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.