Active NPI
Amanda Wheat, D.O.M
- Acupuncturist
- Espanola, NM
National Provider Identifier
1891932414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 974
- Practice address
- 239 Paseo de Onate
Espanola, NM 87532 - Phone
- (505) 753-9296
- Fax
- (505) 747-7968
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 974 | NM | Primary |
Addresses
Primary practice location
239 Paseo de Onate
Espanola, NM 87532
Mailing address
HC 77 Box A11
Ojo Caliente, NM 87549-9710
Phone (505) 927-5086
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
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1891932414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 77 BOX A11",
"city": "OJO CALIENTE",
"state": "NM",
"postal_code": "875499710",
"telephone_number": "505-927-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-753-9296",
"fax_number": "505-747-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEAT",
"first_name": "AMANDA",
"credential": "D.O.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.