Individual provider Active NPI

Kirk Rodney Slagel, N.M.D.

  • Naturopath
  • Mesa, AZ
National Provider Identifier
1497916688
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
01-638 Issued in AZ
Practice address
2058 S Dobson Rd Ste 11
Mesa, AZ 85202-6455
Phone
(480) 221-0874
Fax
(480) 831-7971
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 01-638 AZ Primary

Addresses

Primary practice location

2058 S Dobson Rd Ste 11
Mesa, AZ 85202-6455

Mailing address

2058 S Dobson Rd Ste 11
Mesa, AZ 85202-6455
Phone (480) 221-0874

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
01-638AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1497916688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026455",
            "telephone_number": "480-221-0874",
            "fax_number": "480-831-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026455",
            "telephone_number": "480-221-0874",
            "fax_number": "480-831-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGEL",
        "first_name": "KIRK",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "01-638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.