Ancient Wisdom Healing Arts LLC – Acupuncturist

Key facts

NPI: 1124587761
Entity type: Organization (NPI type 2)
Primary specialty: Acupuncturist 171100000X
Legal business name: ANCIENT WISDOM HEALING ARTS LLC
Practice address: 1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042
Phone: (505) 210-2781
NPI assigned: Mar 13, 2019
Organization subpart: No

Authorized official

Name: Jacob W Wilcox, DOM
Title: Owner/Acupuncturist
Phone: (505) 210-2781

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Ancient Wisdom Healing Arts LLC Acupuncturist · Santa Fe, NM · NPI 1659731032

NPD tax ID

Practitioners 1

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

Jacob Wilcox, DOM Acupuncturist · Santa Fe, NM · NPI 1487782165

NPD (past) ACUPUNCTURIST

National Provider Directory

Tax ID family: Ancient Wisdom Healing Arts (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acupuncturist Group: 193400000X SINGLE SPECIALTY GROUP	171100000X			Yes

Addresses

Primary practice location

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042

Mailing address

2 Periwinkle PL
Santa Fe, NM 87508-1389
Phone (505) 210-2781

Other practice location 1

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042
Phone (505) 210-2781

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Acupuncturist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.