Individual provider Active NPI

Jarom Ipson, N.M.D.

  • Naturopath
  • San Tan Valley, AZ
National Provider Identifier
1821425968
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
13-1392 Issued in AZ
Practice address
85 W Combs Rd Ste 101
Box 282
San Tan Valley, AZ 85140-9106
Phone
(480) 639-9359
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 13-1392 AZ Primary

Addresses

Primary practice location

85 W Combs Rd Ste 101
Box 282
San Tan Valley, AZ 85140-9106

Mailing address

85 W Combs Rd Ste 101
Box 282
San Tan Valley, AZ 85140-9106

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
13-1392AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1821425968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD STE 101",
            "address_2": "BOX 282",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD STE 101",
            "address_2": "BOX 282",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409106",
            "telephone_number": "480-639-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPSON",
        "first_name": "JAROM",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.