Carly Mohler, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1196 Issued in NM

Practice address

826 Camino de Monte Rey Ste A2
Santa Fe, NM 87505-3961

Phone

(804) 496-9991

NPI assigned

Jul 23, 2019

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1326691932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "804-496-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 2nd St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875053408",
            "country_code": "US",
            "telephone_number": "505-982-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHLER",
        "first_name": "CARLY",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.