Organization Active NPI

Public Health Acupuncture of New Mexico

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1659605368
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
VARIOUS Issued in NM
Legal business name
PUBLIC HEALTH ACUPUNCTURE OF NEW MEXICO
Practice address
1317 Princeton Dr NE
Albuquerque, NM 87106-2618
Phone
(505) 232-7654
NPI assigned
Sep 28, 2009
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Nityamo Lian, DOM, MPHNPI 1245356070
Title
President
Phone
(505) 232-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X VARIOUS NM
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 608 NM
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X VARIOUS NM
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X VARIOUS NM Primary

Addresses

Primary practice location

1317 Princeton Dr NE
Albuquerque, NM 87106-2618

Mailing address

PO Box 35863
Albuquerque, NM 87176-5863
Phone (505) 232-7654

Other names 1

  • Five NP Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1659605368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35863",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765863",
            "telephone_number": "505-232-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 PRINCETON DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062618",
            "telephone_number": "505-232-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH ACUPUNCTURE OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "LIAN",
        "authorized_official_first_name": "NITYAMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-232-7654",
        "authorized_official_credential": "DOM, MPH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "VARIOUS",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "608",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "VARIOUS",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "VARIOUS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five NP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 28, 2009; 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.