Individual provider Active NPI

Todd Adam Born, ND

  • Naturopath
  • Gig Harbor, WA
National Provider Identifier
1508174608
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60177025 Issued in WA
Practice address
3118 Judson St Unit 2393
Gig Harbor, WA 98335-9313
Phone
(480) 452-3327
Fax
(510) 550-7009
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-599 CA
Naturopath 175F00000X ND-599
Naturopath 175F00000X NT60177025 WA Primary

Addresses

Primary practice location

3118 Judson St Unit 2393
Gig Harbor, WA 98335-9313

Mailing address

3118 Judson St Unit 2393
Gig Harbor, WA 98335-9313
Phone (480) 452-3327

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
ND-599CAMDNaturopath
NT60177025WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1508174608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 JUDSON ST UNIT 2393",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983359313",
            "telephone_number": "480-452-3327",
            "fax_number": "253-313-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 JUDSON ST UNIT 2393",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983359313",
            "telephone_number": "480-452-3327",
            "fax_number": "510-550-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "TODD",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-599",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": "ND-599",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60177025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.