Individual provider Active NPI

Michael M Finnegan, DOM, LMT, CMTPT

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1730401225
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1221 Issued in NM
Practice address
4103 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Phone
(505) 830-3585
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5954 NM
Acupuncturist 171100000X 1221 NM Primary

Addresses

Primary practice location

4103 Montgomery Blvd NE
Albuquerque, NM 87109-1102

Mailing address

5115 Coors Blvd NW Ste E
Albuquerque, NM 87120-1926
Phone (505) 897-6560

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
1221NMMDAcupuncturist
5954NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Acupuncture, Inc Acupuncturist PastSince Jul 25, 2019 Accepting new patients
Southwest Myotherapy Massage Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1730401225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 COORS BLVD NW STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201926",
            "telephone_number": "505-897-6560",
            "fax_number": "505-715-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091102",
            "telephone_number": "505-830-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DOM, LMT, CMTPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "5954",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.