Individual provider Active NPI

Martha B Calliham, LAC

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1366624157
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00422 Issued in TX
Practice address
2919 Manchaca Rd
Suite 104-a
Austin, TX 78704-4817
Phone
(512) 416-7600
Fax
(512) 416-7600
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00422 TX Primary

Addresses

Primary practice location

2919 Manchaca Rd
Suite 104-a
Austin, TX 78704-4817

Mailing address

2919 Manchaca Rd
Suite 104-a
Austin, TX 78704-4817
Phone (512) 416-7600

Other names 1

  • Marty Calliham Other name

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

LicenseStateTypeSpecialty
AC00422TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1366624157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MANCHACA RD",
            "address_2": "SUITE 104-A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044817",
            "telephone_number": "512-416-7600",
            "fax_number": "512-416-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MANCHACA RD",
            "address_2": "SUITE 104-A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044817",
            "telephone_number": "512-416-7600",
            "fax_number": "512-416-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIHAM",
        "first_name": "MARTHA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTY",
            "last_name": "CALLIHAM",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.