Active NPI
Jason David Culp, N.D.
- Naturopath
- Southbury, CT
National Provider Identifier
1104154442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000473
- Practice address
- 3 Pomperaug Office Park
Suite 103
Southbury, CT 06488-2287 - Phone
- (203) 264-3583
- Fax
- (203) 264-5102
- NPI assigned
- Nov 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT 60121435 | WA | |
| Naturopath | 175F00000X | 000473 | CT | Primary |
Addresses
Primary practice location
3 Pomperaug Office Park
Suite 103
Southbury, CT 06488-2287
Mailing address
3 Pomperaug Office Park
Suite 103
Southbury, CT 06488-2287
Phone (203) 264-3583
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 |
|---|---|---|---|
| NT 60121435 | WA | MD | Naturopath |
| 000473 | CT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1104154442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 POMPERAUG OFFICE PARK",
"address_2": "SUITE 103",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882287",
"telephone_number": "203-264-3583",
"fax_number": "203-264-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 POMPERAUG OFFICE PARK",
"address_2": "SUITE 103",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882287",
"telephone_number": "203-264-3583",
"fax_number": "203-264-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULP",
"first_name": "JASON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-25",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT 60121435",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.