Active NPI
Oliver C. McCrary, D.O.M.
- Acupuncturist
- Taos, NM
National Provider Identifier
1295996379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 110
- Practice address
- 218 Paseo del Pueblo Norte Ste C
Suite C
Taos, NM 87571-6316 - Phone
- (575) 751-0377
- NPI assigned
- Jun 20, 2008
- 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 | 110 | NM | Primary |
Addresses
Primary practice location
218 Paseo del Pueblo Norte Ste C
Suite C
Taos, NM 87571-6316
Mailing address
PO Box 2012
Taos, NM 87571-2012
Phone (575) 751-0377
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 |
|---|---|---|---|
| 110 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1295996379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2012",
"city": "TAOS",
"state": "NM",
"postal_code": "875712012",
"telephone_number": "575-751-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 PASEO DEL PUEBLO NORTE STE C",
"address_2": "SUITE C",
"city": "TAOS",
"state": "NM",
"postal_code": "875716316",
"telephone_number": "575-751-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRARY",
"first_name": "OLIVER",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.