NPIMap

Organization Active NPI

Of the Earth Wellness

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1831528207
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
099.0099012 Issued in VT
Legal business name
OF THE EARTH WELLNESS
Practice address
6236 S 10TH St
Phoenix, AZ 85042-4312
Phone
(757) 871-1880
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. David Longeval Hamilton Jr., N.M.D.NPI 1174954986
Title
Naturopathic Medical Doctor
Phone
(757) 871-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 099.0099012 VT Primary

Addresses

Primary practice location

6236 S 10TH St
Phoenix, AZ 85042-4312

Mailing address

6236 S 10TH St
Phoenix, AZ 85042-4312
Phone (757) 871-1880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1831528207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424312",
            "telephone_number": "757-871-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424312",
            "telephone_number": "757-871-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OF THE EARTH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LONGEVAL",
        "authorized_official_title_or_position": "NATUROPATHIC MEDICAL DOCTOR",
        "authorized_official_telephone_number": "757-871-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "N.M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VT",
            "license": "099.0099012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.