Individual provider Active NPI

Reza Kalhor, NMD

  • Naturopath
  • Tempe, AZ
National Provider Identifier
1679111710
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
25-1912 Issued in AZ
Practice address
2140 E Broadway Rd
Tempe, AZ 85282-1751
Phone
(480) 858-9100
NPI assigned
Dec 19, 2019
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1534 CA
Naturopath 175F00000X 25-1912 AZ Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

2140 E Broadway Rd
Tempe, AZ 85282-1751

Mailing address

2325 E Rio Salado Pkwy Apt 3001
Tempe, AZ 85288-7480
Phone (949) 444-3755

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
25-1912AZMDNaturopath
ND1534CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1679111710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 E RIO SALADO PKWY APT 3001",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852887480",
            "telephone_number": "949-444-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821751",
            "telephone_number": "480-858-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALHOR",
        "first_name": "REZA",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1534",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "25-1912",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 15, 2025; 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.