Active NPI
Walter Barker Eddy, DOM
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1700944972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 699
- Practice address
- 1622 Galisteo St
Santa Fe, NM 87505 - Phone
- (505) 438-8884
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 699 | NM | Primary |
Addresses
Primary practice location
1622 Galisteo St
Santa Fe, NM 87505
Mailing address
27 Saddleback Mesa
Santa Fe, NM 87508
Phone (505) 986-1058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | NM | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Abbate | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700944972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SADDLEBACK MESA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87508",
"telephone_number": "505-986-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-438-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "WALTER",
"middle_name": "BARKER",
"name_prefix": "Mr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "699",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.