Individual provider Active NPI

Michael Mendribil, N.D.

  • Naturopath
  • Cos Cob, CT
National Provider Identifier
1043464738
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000155 Issued in CT
Practice address
213 E Putnam Ave
Ste 5
Cos Cob, CT 06807-2734
Phone
(203) 861-7810
Fax
(203) 567-8444
NPI assigned
Nov 9, 2008
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 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 000155 CT Primary

Addresses

Primary practice location

213 E Putnam Ave
Ste 5
Cos Cob, CT 06807-2734

Mailing address

213 E Putnam Ave
Ste 5
Cos Cob, CT 06807-2734
Phone (203) 861-7810

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

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1043464738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E PUTNAM AVE",
            "address_2": "STE 5",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072734",
            "telephone_number": "203-861-7810",
            "fax_number": "203-567-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E PUTNAM AVE",
            "address_2": "STE 5",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072734",
            "telephone_number": "203-861-7810",
            "fax_number": "203-567-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDRIBIL",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-09",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.