Active NPI
Dawn Anne Bantel, NMD
- Naturopath
- Tucson, AZ
National Provider Identifier
1801954730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 01665
- 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, 2015
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01665 | AZ | MD | Naturopath |
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.