Individual provider Active NPI

Susan Anne Swanback, DOCTOR OF ORIENTAL M

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1841461829
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
965 Issued in NM
Practice address
230 Adams St SE
Suite B
Albuquerque, NM 87108
Phone
(505) 266-5681
Fax
(505) 266-2923
NPI assigned
Mar 18, 2008
Last updated
Jul 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 965 NM Primary

Addresses

Primary practice location

230 Adams St SE
Suite B
Albuquerque, NM 87108

Mailing address

2616 Mesilla St NE
Suite 2
Albuquerque, NM 87110-3686
Phone (505) 266-5681

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
965NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1841461829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MESILLA ST NE",
            "address_2": "SUITE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103686",
            "telephone_number": "505-266-5681",
            "fax_number": "505-266-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ADAMS ST SE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-266-5681",
            "fax_number": "505-266-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANBACK",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF ORIENTAL M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "965",
            "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 Jul 27, 2009; 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.