Organization Active NPI

Care Integrative Internal Medicine, LLC

  • Health Maintenance Organization
  • Bridgeport, CT
National Provider Identifier
1417229949
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
000471 Issued in CT
Legal business name
CARE INTEGRATIVE INTERNAL MEDICINE, LLC
Practice address
4697 Main St
Bridgeport, CT 06606-1869
Phone
(203) 386-0001
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. Joseph Junior Johnson, NDNPI 1831467745
Title
Naturopathic Physician
Phone
(203) 345-9335

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 000471 CT Primary

Addresses

Primary practice location

4697 Main St
Bridgeport, CT 06606-1869

Mailing address

39 Nob Hill Cir
Unit B
Bridgeport, CT 06610-1827
Phone (203) 345-9335

Other identifiers 1

IdentifierTypeStateIssuer
1831467745OtherNPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1417229949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NOB HILL CIR",
            "address_2": "UNIT B",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101827",
            "telephone_number": "203-345-9335",
            "fax_number": "203-345-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061869",
            "telephone_number": "203-386-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INTEGRATIVE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "203-345-9335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "000471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1831467745",
            "state": null
        }
    ],
    "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 Jan 30, 2012; 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.