Douglas William Pai, D.O.M
Individual provider Active NPI Acupuncturist · Moriarty, NM
NPI 1447502653 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1447502653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1015 (NM)
- Practice address
- 105 Broadway
Moriarty, NM 87035 - Phone
- (505) 717-9185
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1015 | NM | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1015 | NM | Yes |
Addresses
Primary practice location
105 Broadway
Moriarty, NM 87035
Mailing address
26 Cross Ranch Rd
Stanley, NM 87056-9764
Phone (505) 717-9185
Other providers in Moriarty, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. 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.