Individual provider Active NPI

Karin Moeller, OMD

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1225748510
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2067 Issued in NV
Practice address
5594 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-3611
Phone
(702) 763-1168
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2067 NV Primary

Addresses

Primary practice location

5594 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-3611

Mailing address

4781 Clover Ridge St
Las Vegas, NV 89147-8423
Phone (904) 955-0786

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
2067NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Acupuncture of Southern Nevada LLC Acupuncturist PastSince Dec 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1225748510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 CLOVER RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478423",
            "telephone_number": "904-955-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5594 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891483611",
            "telephone_number": "702-763-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "KARIN",
        "credential": "OMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.