Active NPI
Michael Shawn Haner, D.O.M.
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1053609487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1006
- Practice address
- 909 Early St.
Santa Fe, NM 87501 - Phone
- (505) 988-5117
- NPI assigned
- Jul 19, 2011
- 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 | 1006 | NM | Primary |
Addresses
Primary practice location
909 Early St.
Santa Fe, NM 87501
Mailing address
PO Box 32431
Santa Fe, NM 87594-2431
Phone (505) 660-9058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | NM | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael'S Acupunture and Fitness | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Santa Fe, NM
- NPI 1124369830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1053609487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32431",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875942431",
"telephone_number": "505-660-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 EARLY ST.",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "505-988-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANER",
"first_name": "MICHAEL",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "D.O.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.