Organization Active NPI

Kathryn J Hahn, Dom, LLC

  • Acupuncturist
  • Santa Fe, NM
National Provider Identifier
1659887685
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
771 Issued in NM
Legal business name
KATHRYN J HAHN, DOM, LLC
Practice address
1925 Aspen Dr Ste 502B
Santa Fe, NM 87505-5559
Phone
(505) 216-5077
Fax
(505) 216-0866
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Kathryn J Hahn, DOMNPI 1992818850
Title
Owner
Phone
(505) 216-5077

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 771 NM Primary

Addresses

Primary practice location

1925 Aspen Dr Ste 502B
Santa Fe, NM 87505-5559

Mailing address

1925 Aspen Dr Ste 502B
Santa Fe, NM 87505-5559
Phone (505) 216-5077

Other identifiers 1

IdentifierTypeStateIssuer
1992818850OtherNMBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1925 Aspen Dr
Ste 502B
Santa Fe, NM 87505
Phone (505) 310-1614

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1659887685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR STE 502B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055559",
            "telephone_number": "505-216-5077",
            "fax_number": "505-216-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR STE 502B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055559",
            "telephone_number": "505-216-5077",
            "fax_number": "505-216-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN J HAHN, DOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-216-5077",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1992818850",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.