Active NPI
C Brett Connor, LMT
- Homeopath
- Kotzebue, AK
National Provider Identifier
1205029642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- License
- 903856
- Practice address
- 850B 5TH St.
Kotzebue, AK 99752 - Phone
- (907) 442-2173
- NPI assigned
- Aug 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | 903856 | AK | Primary |
Addresses
Primary practice location
850B 5TH St.
Kotzebue, AK 99752
Mailing address
PO Box 1246
Kotzebue, AK 99752-1246
Phone (907) 442-2173
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 |
|---|---|---|---|
| 903856 | AK | MD | Homeopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1205029642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1246",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997521246",
"telephone_number": "907-442-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850B 5TH ST.",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "99752",
"telephone_number": "907-442-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "C",
"middle_name": "BRETT",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "AK",
"license": "903856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.