Mountain Air Functional Medicine

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

MOUNTAIN AIR FUNCTIONAL MEDICINE

Practice address

2100 Main St
Baker City, OR 97814-2655

Phone

(541) 519-0694

NPI assigned

Oct 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Richard Charles Heriza, ND, MPHNPI 1730875865

Title

Owner

Phone

(541) 519-0694

Specialties & licenses 1

Addresses

Other names 1

• Mountain Air Functional Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Charles Heriza, ND

  • Naturopath
  • Baker City, OR
  • NPI 1730875865
  NPD Authorized official

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1659192037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142655",
            "telephone_number": "541-519-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142655",
            "telephone_number": "541-519-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AIR FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "HERIZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-519-0694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MPH"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Air Functional Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Mills
• Jessica Minor, OTR/L
• Logan Thompson Mitchell, O.D.
• Vince Phillip Mitchell
• Lois Ann Moore, M.D.
• Mountain Valley Dental Group P.C.
• Mountain Valley Mental Health Programs, Inc.
• Gaylene Moyers, CCMA
• Karly Munroe, PT, DPT
• Paul L Munson

• Naturopath in Baker City, OR
• Providers in Baker City, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.