NPIMap

Organization Active NPI

Integrative Family Medicine of CT, PLLC

  • Naturopath
  • Stamford, CT
National Provider Identifier
1174034367
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000443 Issued in CT
Legal business name
INTEGRATIVE FAMILY MEDICINE OF CT, PLLC
Practice address
1435 Bedford St Ste 1R
Stamford, CT 06905-5225
Phone
(203) 832-6992
Fax
(203) 658-8728
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Dr. Minna Kim, NDNPI 1205144888
Title
Physician, Owner
Phone
(203) 623-5796

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 000443 CT Primary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 52918 CT

Addresses

Primary practice location

1435 Bedford St Ste 1R
Stamford, CT 06905-5225

Mailing address

1435 Bedford St Ste 1R
Stamford, CT 06905-5225
Phone (203) 832-6992

Other names 1

  • Stamford Naturopathic & Acupuncture Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1174034367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD ST STE 1R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055225",
            "telephone_number": "203-832-6992",
            "fax_number": "203-658-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD ST STE 1R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055225",
            "telephone_number": "203-832-6992",
            "fax_number": "203-658-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY MEDICINE OF CT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINNA",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "203-623-5796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000443",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CT",
            "license": "52918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stamford Naturopathic & Acupuncture",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.