Individual provider Active NPI

Gonzalo Corts, RD, LDN

  • Registered Dietitian
  • Natick, MA
National Provider Identifier
1285060129
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3541 Issued in MA
Practice address
203 Oak St
Natick, MA 01760-1306
Phone
(508) 653-4633
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3541 MA Primary

Addresses

Primary practice location

203 Oak St
Natick, MA 01760-1306

Mailing address

PO Box 2356
Vineyard Haven, MA 02568-0919
Phone (774) 521-8310

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3541MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1285060129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2356",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680919",
            "telephone_number": "774-521-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-653-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTS",
        "first_name": "GONZALO",
        "name_prefix": "Mr.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.