Organization Active NPI

Soul Acupuncture Clinic

  • Acupuncturist
  • Rio Rancho, NM
National Provider Identifier
1659692978
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1027 Issued in NM
Legal business name
SOUL ACUPUNCTURE CLINIC
Practice address
12 Unser Blvd SE
Suite a
Rio Rancho, NM 87124-6300
Phone
(505) 892-7666
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. David Soul, D.O.M.NPI 1689995904
Title
Doctor of Oriental Medicine
Phone
(505) 506-2431

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1027 NM Primary

Addresses

Primary practice location

12 Unser Blvd SE
Suite a
Rio Rancho, NM 87124-6300

Mailing address

12 Unser Blvd SE
Suite a
Rio Rancho, NM 87124-6300
Phone (505) 892-7666

National Provider Directory

National Provider Directory

Locations

12 Unser Blvd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 506-2416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1659692978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-892-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-892-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "SOUL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "505-506-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.