Active NPI
Alan Kadish, NMD, ND
- Naturopath
- Corvallis, OR
National Provider Identifier
1821080789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 59-547
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196543 | Medicaid | OR |
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 |
|---|---|---|---|
| 59-547 | OR | MD | Naturopath |
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.