Individual provider Active NPI

Thomas E Earnest Jr., D.O.M.

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1558658591
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
932 Issued in NM
Practice address
4808 Mesa Prieta CT NW
Albuquerque, NM 87120-4620
Phone
(505) 899-2949
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 932 NM Primary

Addresses

Primary practice location

4808 Mesa Prieta CT NW
Albuquerque, NM 87120-4620

Mailing address

4808 Mesa Prieta CT NW
Albuquerque, NM 87120-4620
Phone (505) 899-2949

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
932NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1558658591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 MESA PRIETA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204620",
            "telephone_number": "505-899-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MESA PRIETA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204620",
            "telephone_number": "505-899-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.