Individual provider Active NPI

Gerald Dukeminier, D.O.M.,

  • Acupuncturist
  • Santa Fe, NM
National Provider Identifier
1700040227
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
099RX1 Issued in NM
Practice address
500 Don Gaspar Ave
Santa Fe, NM 87505-2626
Phone
(505) 988-4210
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 099RX1 NM Primary

Addresses

Primary practice location

500 Don Gaspar Ave
Santa Fe, NM 87505-2626

Mailing address

28415 US 285
Lamy, NM 87540-9510
Phone (505) 466-8876

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
099RX1NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1700040227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28415 US 285",
            "city": "LAMY",
            "state": "NM",
            "postal_code": "875409510",
            "telephone_number": "505-466-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052626",
            "telephone_number": "505-988-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKEMINIER",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.O.M.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "099RX1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2008; 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.