The Anti-Aging Spot LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

14-1470 Issued in AZ

Legal business name

THE ANTI-AGING SPOT LLC

Practice address

4845 E Thunderbird Rd
Ste 4
Scottsdale, AZ 85254-3556

Phone

(480) 599-8370

Fax

(480) 436-6747

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Mora, NDNPI 1770972200

Title

Physician

Phone

(480) 599-8370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen Mora, N.D.

  • Naturopath
  • Scottsdale, AZ
  • NPI 1770972200
  NPD (past) Authorized official

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1841697091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD STE 101-190",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821580",
            "telephone_number": "602-321-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD",
            "address_2": "STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543556",
            "telephone_number": "480-599-8370",
            "fax_number": "480-436-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANTI-AGING SPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-599-8370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "14-1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.