Individual provider Active NPI

Olympia Alexandra Dreszer, ND, LAC

  • Naturopath
  • Stratford, CT
National Provider Identifier
1235430869
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000439 Issued in CT
Practice address
615 Longbrook Ave
Stratford, CT 06614-5116
Phone
(203) 864-4920
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000439 CT Primary
Acupuncturist 171100000X 000574 CT

Addresses

Primary practice location

615 Longbrook Ave
Stratford, CT 06614-5116

Mailing address

615 Longbrook Ave
Stratford, CT 06614-5116
Phone (203) 864-4920

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

LicenseStateTypeSpecialty
000574CTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1235430869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LONGBROOK AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145116",
            "telephone_number": "203-864-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LONGBROOK AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145116",
            "telephone_number": "203-864-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESZER",
        "first_name": "OLYMPIA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000439",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

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