John James Mince-Ennis, D.O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

809 Issued in NM

Practice address

721 1/2 7TH St
Las Vegas, NM 87701-4238

Phone

(505) 429-8859

Fax

(575) 421-8852

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1306859863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4173",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877017173",
            "telephone_number": "505-429-8859",
            "fax_number": "575-421-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 1/2 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014238",
            "telephone_number": "505-429-8859",
            "fax_number": "575-421-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCE-ENNIS",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Meserve, PMHNP-BC
• Tricia Meyer, P.T., D.P.T
• Richard Mietz, LMHC
• David C. Miller, PHD
• Franklin Miller, M.D.
• Gwendolyn Minton, LSAI
• Monarch Transformative Therapy LLC
• Art Mondragon
• Gabriel Montano
• Jane P Montano, FNP-C

• Acupuncturist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.