Active NPI
Paul Despres, NMD
- Naturopath
- Flagstaff, AZ
National Provider Identifier
1679085294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 22-1694
- Practice address
- 323 N Leroux St Ste B
Flagstaff, AZ 86001-4555 - Phone
- (928) 213-5828
- NPI assigned
- Nov 5, 2017
- 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 | 22-1694 | AZ | Primary |
Addresses
Primary practice location
323 N Leroux St Ste B
Flagstaff, AZ 86001-4555
Mailing address
5150 E Bluejay LN
Flagstaff, AZ 86004-7380
Phone (602) 684-6511
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 |
|---|---|---|---|
| 22-1694 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1679085294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E BLUEJAY LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047380",
"telephone_number": "602-684-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N LEROUX ST STE B",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014555",
"telephone_number": "928-213-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESPRES",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-05",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "22-1694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.