Organization Active NPI

Nutmeg Natural Health Clinic, LLC

  • Naturopath
  • Bridgeport, CT
National Provider Identifier
1922333525
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
NUTMEG NATURAL HEALTH CLINIC, LLC
Practice address
4761 Main St
Bridgeport, CT 06606-1801
Phone
(203) 816-0326
Fax
(203) 373-0509
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Benjamin Dennery Stratford, N.D.NPI 1316127087
Title
Owner
Phone
(203) 816-0326

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

4761 Main St
Bridgeport, CT 06606-1801

Mailing address

PO Box 110008
Trumbull, CT 06611-0008

National Provider Directory

National Provider Directory

Locations

4761 Main St
Bridgeport, CT 06606
Phone (203) 331-8857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1922333525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110008",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066110008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061801",
            "telephone_number": "203-816-0326",
            "fax_number": "203-373-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG NATURAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "STRATFORD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DENNERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-816-0326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "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 Feb 17, 2011; 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.