Jaclyn M Oddi, D.O.M.
Individual provider Active NPI Acupuncturist · Cedar Crest, NM
NPI 1447430285 · NPPES record last updated Nov 9, 2007
Key facts
- NPI
- 1447430285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 825 (NM)
- Practice address
- 12131 Hwy 14 N
Cedar Crest, NM 87008-9461 - Phone
- (505) 269-2599
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825 | NM | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 825 | NM | Yes |
Addresses
Primary practice location
12131 Hwy 14 N
Cedar Crest, NM 87008-9461
Mailing address
12131 Hwy 14 N
Cedar Crest, NM 87008-9461
Phone (505) 269-2599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00RH55 | Other | NM | BCBS |
Other providers in Cedar Crest, NM
- Amy Beth Marie Miller
- Brendan Moore
- Mountain Community Counseling
- Connor Murphy
- Alysandra Newbill
- Optomeyes, Inc.
- Cierra Danae Ortega
- Lynnette Ruth Ousley
- Celeste Pacheco
- Mershona Parshall
All providers in Cedar Crest, NM · Acupuncturist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.