Active NPI
James Freeman, DOM
- Acupuncturist
- Las Vegas, NM
National Provider Identifier
1053491514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 338
- Practice address
- 520 Friedman Avenue
Las Vegas, NM 87701-4318 - Phone
- (505) 454-1410
- Fax
- (505) 454-1410
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 338 | NM | Primary |
Addresses
Primary practice location
520 Friedman Avenue
Las Vegas, NM 87701-4318
Mailing address
520 Friedman Avenue
Las Vegas, NM 87701-4318
Phone (505) 454-1410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM01R79N | Other | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053491514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 FRIEDMAN AVENUE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014318",
"telephone_number": "505-454-1410",
"fax_number": "505-454-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 FRIEDMAN AVENUE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014318",
"telephone_number": "505-454-1410",
"fax_number": "505-454-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM01R79N",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.