Individual provider Active NPI

Dawn Anne Bantel, NMD

  • Naturopath
  • Tucson, AZ
National Provider Identifier
1801954730
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
01665 Issued in AZ
Practice address
Mirasol Inc 10490 E Escalante
Tucson, AZ 85730-5502
Phone
(520) 886-8828
Fax
(520) 203-0270
NPI assigned
Dec 4, 2006
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 01665 AZ Primary

Addresses

Primary practice location

Mirasol Inc 10490 E Escalante
Tucson, AZ 85730-5502

Mailing address

10490 E. Escalante Rd.
Mirasol
Tucson, AZ 85701
Phone (520) 886-8828

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
01665AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1801954730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10490 E. ESCALANTE RD.",
            "address_2": "MIRASOL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85701",
            "telephone_number": "520-886-8828",
            "fax_number": "520-203-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIRASOL INC 10490 E ESCALANTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305502",
            "telephone_number": "520-886-8828",
            "fax_number": "520-203-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTEL",
        "first_name": "DAWN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "01665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.