Individual provider Active NPI

Alan Kadish, NMD, ND

  • Naturopath
  • Corvallis, OR
National Provider Identifier
1821080789
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
59-547 Issued in OR
Practice address
1156 NW Charlemagne PL
Corvallis, OR 97330-3626
Phone
(541) 773-3191
Fax
(541) 779-5647
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 59-547 OR Primary

Addresses

Primary practice location

1156 NW Charlemagne PL
Corvallis, OR 97330-3626

Mailing address

6455 NW Concord Dr
Corvallis, OR 97330-9577
Phone (541) 773-3191

Other identifiers 1

IdentifierTypeStateIssuer
196543MedicaidOR

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
59-547ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1821080789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 NW CONCORD DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309577",
            "telephone_number": "541-773-3191",
            "fax_number": "541-779-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 NW CHARLEMAGNE PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303626",
            "telephone_number": "541-773-3191",
            "fax_number": "541-779-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADISH",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "NMD, ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "59-547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196543",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.