Pamela Jean Gregg Flax, D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1072 Issued in NM

Practice address

1300 Luisa St Ste 21
Santa Fe, NM 87505-4177

Phone

(505) 690-8048

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Full Well Acupuncture LLC

  • Clinic/Center
  • Santa Fe, NM
  • NPI 1962820456
  Authorized official Same address or phone

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1720351869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 AGUA FRIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079251",
            "telephone_number": "505-690-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 21",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-690-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG FLAX",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Danette Green, MS, LCPC
• Sean Green
• Benjamin Greenberg, PSY.D.
• Erin Michelle Greenspan, ND
• George Rushton Greer, M.D.
• David Freeman Gregory, M.D.
• Michael E Gregory, MD
• Richard J Gregory, DC
• Robert Grella, LISW
• Daniel Grenchik, BMS

• Acupuncturist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.