NPIMap

Organization Active NPI

Bodisense Integrative Medicine

  • Naturopath
  • Tempe, AZ
National Provider Identifier
1619370285
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
141450 Issued in AZ
Legal business name
BODISENSE INTEGRATIVE MEDICINE
Practice address
4657 S Lakeshore Dr
Suite 1
Tempe, AZ 85282-7170
Phone
(480) 284-8155
Fax
(866) 823-2115
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Alexandra Mayer, N.D
Title
Owner
Phone
(480) 789-2746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 141450 AZ Primary

Addresses

Primary practice location

4657 S Lakeshore Dr
Suite 1
Tempe, AZ 85282-7170

Mailing address

PO Box 14243
Scottsdale, AZ 85267-4243

National Provider Directory

National Provider Directory

Locations

4657 S Lakeshore Dr
Ste 1
Tempe, AZ 85282
Phone (480) 236-9873

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1619370285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14243",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 S LAKESHORE DR",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827170",
            "telephone_number": "480-284-8155",
            "fax_number": "866-823-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODISENSE INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-789-2746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "141450",
            "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 Sep 26, 2014; 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.