Active NPI
Amoz Isaac Van Dyke, ND
- Naturopath
- Tempe, AZ
National Provider Identifier
1427429950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 16-1601
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16-1601 | AZ | MD | Naturopath |
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.