Active NPI
Selah Chamberlain, D.O.M., L. AC.
- Acupuncturist
- Taos, NM
National Provider Identifier
1417071333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 379
- Practice address
- 206 Paseo del Pueblo Norte
Taos, NM 87571-5902 - Phone
- (505) 751-3284
- NPI assigned
- Mar 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 379 | NM | Primary |
| Acupuncturist | 171100000X | AC 3247 | CA |
Addresses
Primary practice location
206 Paseo del Pueblo Norte
Taos, NM 87571-5902
Mailing address
PO Box 3053
Taos, NM 87571-3053
Phone (505) 751-3284
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 |
|---|---|---|---|
| AC 3247 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417071333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3053",
"city": "TAOS",
"state": "NM",
"postal_code": "875713053",
"telephone_number": "505-751-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 PASEO DEL PUEBLO NORTE",
"city": "TAOS",
"state": "NM",
"postal_code": "875715902",
"telephone_number": "505-751-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "SELAH",
"credential": "D.O.M., L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "379",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 3247",
"primary": false
}
],
"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 Jul 8, 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.