Active NPI
Jeremy Jonathan Riesenfeld, L.AC.
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1285820084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC500095
- Practice address
- 1810 Calle de Sebastian Unit D1
Santa Fe, NM 87505-7321 - Phone
- (202) 843-0790
- NPI assigned
- Sep 15, 2007
- Last updated
- Dec 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | AC500095 | DC | Primary |
Addresses
Primary practice location
1810 Calle de Sebastian Unit D1
Santa Fe, NM 87505-7321
Mailing address
1810 Calle de Sebastian Unit D1
Santa Fe, NM 87505-7321
Phone (202) 843-0790
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 |
|---|---|---|---|
| AC500095 | DC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devon Gray, L.Ac. | Acupuncturist | Past | Accepting new patients |
| Integrative Manual Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Silver Spring, MD
- NPI 1477919769
-
- Physical Therapist
- Silver Spring, MD
- NPI 1669837837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1285820084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 CALLE DE SEBASTIAN UNIT D1",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057321",
"telephone_number": "202-843-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 CALLE DE SEBASTIAN UNIT D1",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057321",
"telephone_number": "202-843-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESENFELD",
"first_name": "JEREMY",
"middle_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC500095",
"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 Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.