Organization Active NPI

Red Clover Natural Health, Inc.

  • Naturopath
  • Montpelier, VT
National Provider Identifier
1144602962
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0990000239 Issued in VT
Legal business name
RED CLOVER NATURAL HEALTH, INC.
Practice address
174 River St
Montpelier, VT 05602-3827
Phone
(802) 505-0597
Fax
(802) 223-2016
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Gabriel Tomas Archdeacon, ND
Title
President
Phone
(802) 505-0597

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X VT
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 0990000239 VT Primary

Addresses

Primary practice location

174 River St
Montpelier, VT 05602-3827

Mailing address

174 River St
Montpelier, VT 05602-3827
Phone (802) 505-0597

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1144602962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 RIVER ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023827",
            "telephone_number": "802-505-0597",
            "fax_number": "802-223-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 RIVER ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023827",
            "telephone_number": "802-505-0597",
            "fax_number": "802-223-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CLOVER NATURAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "ARCHDEACON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-505-0597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "VT",
            "license": "0990000239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.