Individual provider Active NPI

Reina Santiago, D.O.M.

  • Acupuncturist
  • Santa Fe, NM
National Provider Identifier
1720043318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
810 Issued in NM
Practice address
2074 Galisteo St
Suite B 1
Santa Fe, NM 87505-2138
Phone
(505) 983-8498
Fax
(505) 820-6339
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 810 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

2074 Galisteo St
Suite B 1
Santa Fe, NM 87505-2138

Mailing address

2074 Galisteo St
Suite B 1
Santa Fe, NM 87505-2138
Phone (505) 983-8498

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720043318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST",
            "address_2": "SUITE B 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052138",
            "telephone_number": "505-983-8498",
            "fax_number": "505-820-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST",
            "address_2": "SUITE B 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052138",
            "telephone_number": "505-983-8498",
            "fax_number": "505-820-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "REINA",
        "name_prefix": "Ms.",
        "credential": "D.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "810",
            "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.

Verify at the official NPI Registry.