Active NPI
Brett F Shenkman, NMD, ND
- Naturopath
- Sedona, AZ
National Provider Identifier
1780196675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4115
- Practice address
- 125 Kallof PL
Sedona, AZ 86336-5566 - Phone
- (928) 239-4589
- NPI assigned
- Oct 31, 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 | 4115 | OR | Primary |
Addresses
Primary practice location
125 Kallof PL
Sedona, AZ 86336-5566
Mailing address
320 Navahopi Rd Apt B
Sedona, AZ 86336-4165
Phone (610) 730-4864
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 |
|---|---|---|---|
| 4115 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1780196675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 NAVAHOPI RD APT B",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863364165",
"telephone_number": "610-730-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KALLOF PL",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365566",
"telephone_number": "928-239-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENKMAN",
"first_name": "BRETT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "NMD, ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.