Longevity Acupuncture, P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

639RX1 Issued in NM

Legal business name

LONGEVITY ACUPUNCTURE, P.C.

Practice address

1403 San Mateo Blvd NE
Albuquerque, NM 87110-6429

Phone

(505) 263-7248

Fax

(505) 244-8731

NPI assigned

Aug 4, 2009

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Ann Crum, D.O.M., L.AC.NPI 1013125921

Title

President

Phone

(505) 263-7248

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Ann Crum, D.O.M.

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1013125921
  NPD (past) Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1881825123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106429",
            "telephone_number": "505-263-7248",
            "fax_number": "505-244-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106429",
            "telephone_number": "505-263-7248",
            "fax_number": "505-244-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-263-7248",
        "authorized_official_credential": "D.O.M., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "639RX1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan G Long
• Savannah Ann Long
• Vonda Olson Long, PHD
• William R Long, PHARMD, MBA
• Jamie Longbottom
• Longevity Clinical LTC Associates of New Mexico, PC
• Lynn Longfield, MD
• Thomas William Longley, M.D.
• Alexis Longoria
• Tracy A. Longwill, MA, LPCC

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.