Madeline Dawn Wadsworth, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1974 Issued in TX

Practice address

17503 La Cantera Pkwy Ste 123
San Antonio, TX 78257-8208

Phone

(512) 202-6417

NPI assigned

May 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• White Tiger Ma LLC

  • Acupuncturist
  • San Antonio, TX
  • NPI 1487344107
  NPD

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1295391779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 LUNSFORD RD APT 3240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578208",
            "telephone_number": "512-202-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "MADELINE",
        "middle_name": "DAWN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne Douglass Wade, LMFTA
• Wadhwa Dental PA
• Harmandeep Singh Wadhwa, DDS
• Tarunpreet Singh Wadhwa, AU.D.
• Marisella Wadkins
• Rebecca Wadsworth
• Rick Wadsworth, M.ED, LPC
• Joy L Wafful, D.C.
• Loralyn Wafful, PA-C
• Robert A Wafful, D.C.

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.