Active NPI
Kengo Ueda, N.D.
- Naturopath
- Bridgeport, CT
National Provider Identifier
1275709404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000385
- Practice address
- 60 Lafayette St
Bridgeport, CT 06604-5719 - Phone
- (203) 576-4298
- Fax
- (203) 576-4128
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 000385 | CT | Primary |
Addresses
Primary practice location
60 Lafayette St
Bridgeport, CT 06604-5719
Mailing address
765 Garfield Ave
Bridgeport, CT 06606-5254
Phone (203) 330-8375
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 |
|---|---|---|---|
| 000385 | CT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Bridgeport | Past | Accepting new patients | |
| University of Bridgeport D/B/a Health Sciences Center | Naturopath | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Bridgeport, CT
- NPI 1457493728
-
- Naturopath
- Bridgeport, CT
- NPI 1477795235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1275709404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 GARFIELD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065254",
"telephone_number": "203-330-8375",
"fax_number": "203-330-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 LAFAYETTE ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066045719",
"telephone_number": "203-576-4298",
"fax_number": "203-576-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEDA",
"first_name": "KENGO",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.