NPIMap

Organization Active NPI

Golden West Acupuncture and Wellness LLC.

  • Acupuncturist
  • Bosque Farms, NM
National Provider Identifier
1669832564
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1176 Issued in NM
Legal business name
GOLDEN WEST ACUPUNCTURE AND WELLNESS LLC.
Practice address
590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645
Phone
(505) 730-1570
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Stacie R Shain, DOMNPI 1124488770
Title
Owner
Phone
(505) 730-1570

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
Acupuncturist 171100000X 1176 NM Primary

Addresses

Primary practice location

590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645

Mailing address

590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645
Phone (505) 730-1570

National Provider Directory

National Provider Directory

Locations

590 Bosque Farms Blvd
Bosque Farms, NM 87068
Phone (505) 730-1570

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1669832564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BOSQUE FARMS BLVD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689645",
            "telephone_number": "505-730-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BOSQUE FARMS BLVD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689645",
            "telephone_number": "505-730-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WEST ACUPUNCTURE AND WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAIN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-730-1570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bosque Farms, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.