Individual provider Active NPI

Brian McDaid, D.O.M.

  • Acupuncturist
  • Roswell, NM
National Provider Identifier
1457539843
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
217 Issued in NM
Practice address
500 N Main St Ste 400D
Roswell, NM 88201-4766
Phone
(505) 660-1128
Fax
(505) 660-1128
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 217 NM Primary

Addresses

Primary practice location

500 N Main St Ste 400D
Roswell, NM 88201-4766

Mailing address

500 N Main St Ste 400D
Roswell, NM 88201-4766
Phone (505) 660-1128

Other practice location 1

600 1/2 Franklin Ave
Santa Fe, NM 87505-1020
Phone (505) 424-8357

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
217NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457539843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST STE 400D",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014766",
            "telephone_number": "505-660-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST STE 400D",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014766",
            "telephone_number": "505-660-1128",
            "fax_number": "505-660-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 1/2 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051020",
            "country_code": "US",
            "telephone_number": "505-424-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDAID",
        "first_name": "BRIAN",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.